Active NPI
Faith Kriewall Carlson, MSW
- Clinical Social Worker
- Santa Maria, CA
National Provider Identifier
1508369869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 81797
- Practice address
- 115 E Fesler St
Santa Maria, CA 93454-4404 - Phone
- (805) 922-6597
- NPI assigned
- Mar 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 81797 | CA | Primary |
Addresses
Primary practice location
115 E Fesler St
Santa Maria, CA 93454-4404
Mailing address
115 E Fesler St
Santa Maria, CA 93454-4404
Phone (805) 922-6597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81797 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1508369869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 E FESLER ST",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934544404",
"telephone_number": "805-922-6597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E FESLER ST",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934544404",
"telephone_number": "805-922-6597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "FAITH",
"middle_name": "KRIEWALL",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-13",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "81797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
- Care Connection Home Care LLC
- Care Connection Transport Services, LLC
- Care Medical, a California Corporation
- Dalila Carey
- Carlos Guerrero Licensed Clinical Social Worker, Inspiration Point Cou
- Ginger Carmichael
- Angelina Natasha Carnero
- Gabriel Caro
- Carolyn R Baldiviez D D S Inc
- William Carr, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.