Carey Rogers Kulongoski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS26327 Issued in CA

Practice address

6160 Mission Gorge Rd
Suite # 120
San Diego, CA 92120-3410

Phone

(619) 282-2232

Fax

(619) 282-2992

NPI assigned

May 12, 2010

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)

Enrolled

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1609194828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 N EL MOLINO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011403",
            "telephone_number": "626-577-8480",
            "fax_number": "626-577-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 MISSION GORGE RD",
            "address_2": "SUITE # 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203410",
            "telephone_number": "619-282-2232",
            "fax_number": "619-282-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULONGOSKI",
        "first_name": "CAREY",
        "middle_name": "ROGERS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS26327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaushal M. Kulkarni, M.D.
• Alison Kullback
• Erika Kullberg, DMD
• Richard Erick Kullberg
• Kulmiye Care LLC
• Kanokwan Kultan
• Kyunghae Kum, PSY.D.
• Andrea Leilani Kumano
• Agnijita Kumar, MD
• Ajeshni Niranjana Kumar

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, 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 May 12, 2010; 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.