Active NPI
Pamela Geraghty, LCSW
- Adult Mental Health Clinic/Center
- Carlsbad, CA
National Provider Identifier
1619512522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- PAMELA GERAGHTY, LCSW
- Practice address
- 2774 Jefferson St
Carlsbad, CA 92008-1769 - Phone
- (760) 575-4512
- Fax
- (760) 434-4789
- NPI assigned
- Nov 14, 2019
- Last updated
- Dec 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela Geraghty LCSW, LCSW
- Title
- Owner/Therapist
- Phone
- (760) 575-4512
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
2774 Jefferson St
Carlsbad, CA 92008-1769
Mailing address
2774 Jefferson St
Carlsbad, CA 92008-1769
Phone (760) 575-4512
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pamela@pgeraghtylcsw.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- San Francisco, CA
- NPI 1063800217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575936000000",
"number": "1619512522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2774 JEFFERSON ST",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081769",
"telephone_number": "760-575-4512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2774 JEFFERSON ST",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081769",
"telephone_number": "760-575-4512",
"fax_number": "760-434-4789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAMELA GERAGHTY, LCSW",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-14",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A",
"authorized_official_last_name": "LCSW",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "GERAGHTY",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "760-575-4512",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pamela@pgeraghtylcsw.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2774 Jefferson St",
"city": "Carlsbad",
"state": "CA",
"country_code": "US",
"postal_code": "920081769",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.