Nellie Rose McCarty, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW66633 Issued in CA

Practice address

957 Industrial Rd Ste B
San Carlos, CA 94070-4152

Phone

(650) 730-9668

NPI assigned

Nov 7, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Nellie McCarty, Licsw, PLLC

  • Clinical Social Worker
  • Bainbridge Island, WA
  • NPI 1588595672
  NPD Authorized official

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1518211861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 INDUSTRIAL RD STE B",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940704152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 INDUSTRIAL RD STE B",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940704152",
            "telephone_number": "650-730-9668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1266 14th St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946072205",
            "country_code": "US",
            "telephone_number": "510-531-3111",
            "fax_number": "510-530-8083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "NELLIE",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094950",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW66633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry McBroome
• McCaffrey & Mason Chiropractic PC (New Life Chiropractic)
• Janet Rosalie McCaffrey, D.C.
• Amy Kathleen McCarthy, NP
• Briana McCarthy
• Richard G McCauley
• Susan Renee McClendon, R.D., C.N.S.D.
• Kimberly McCloud-Silva
• Catherine Anne McCoy
• Katelynn McDermott

• Clinical Social Worker in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.