Active NPI
Bharathy Thridandam, LCSW
- Clinical Social Worker
- Carlsbad, CA
National Provider Identifier
1649485558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 20494
- Practice address
- 2561 Discovery Rd
Carlsbad, CA 92009-3062 - Phone
- (760) 214-5184
- NPI assigned
- May 14, 2007
- Last updated
- Aug 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | LCS 20494 | CA | Primary |
Addresses
Primary practice location
2561 Discovery Rd
Carlsbad, CA 92009-3062
Mailing address
2561 Discovery Rd
Carlsbad, CA 92009-3062
Phone (760) 214-5184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2023 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 20494 | CA | MD | Clinical Social Worker |
| 20494 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1649485558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2561 DISCOVERY RD",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920093062",
"telephone_number": "760-214-5184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2561 DISCOVERY RD",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920093062",
"telephone_number": "760-214-5184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THRIDANDAM",
"first_name": "BHARATHY",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 20494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
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- Melissa Thunberg
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.