Carmen Louise Siddiqi, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCS 5631 Issued in CA

Practice address

920 S Broadway
Suite B
Santa Maria, CA 93454-6662

Phone

(805) 925-5776

Fax

(805) 614-7126

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• House of Healing, Inc.

  • Clinical Social Worker
  • Santa Maria, CA
  • NPI 1659685717
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1497887483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S BROADWAY",
            "address_2": "SUITE B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546662",
            "telephone_number": "805-925-5776",
            "fax_number": "805-614-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S BROADWAY",
            "address_2": "SUITE B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546662",
            "telephone_number": "805-925-5776",
            "fax_number": "805-614-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "CARMEN",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS 5631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiv Krupa Healthcare Inc
• Briana Short
• Leah Ann Shrogin
• Lisa Shuffield, RN IBCLC
• Jonah Daniel Shull, M.D.
• Baljinder Singh Sidhu, M.D.
• Richard Siegel, MD
• Makayla Sigrest
• Carolyn Silva, LMFT
• Giovanna Silva

• Mental Health Counselor in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.