Individual provider Active NPI

Katie Carnohan, LCSW

  • Clinical Social Worker
  • Oceanside, CA
National Provider Identifier
1629670005
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW97347 Issued in CA
Practice address
1930 S Coast Hwy Ste 100
Oceanside, CA 92054-6466
Phone
(619) 796-2076
NPI assigned
Nov 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW97347 CA Primary

Addresses

Primary practice location

1930 S Coast Hwy Ste 100
Oceanside, CA 92054-6466

Mailing address

1930 S Coast Hwy Ste 100
Oceanside, CA 92054-6466
Phone (619) 796-2076

Other practice location 1

5675 Ruffin Rd Ste 325
San Diego, CA 92123-1391
Phone (858) 467-9170

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

LicenseStateTypeSpecialty
LCSW97347CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
LDS Family Services PastSince Nov 1, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1629670005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S COAST HWY STE 100",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546466",
            "telephone_number": "619-796-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S COAST HWY STE 100",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546466",
            "telephone_number": "619-796-2076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5675 Ruffin Rd Ste 325",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231391",
            "country_code": "US",
            "telephone_number": "858-467-9170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNOHAN",
        "first_name": "KATIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW97347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.