Individual provider Active NPI

Anne Elizabeth Clarkin, L.C.S.W.

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1659321784
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS12604 Issued in CA
Practice address
2635 Camino del Rio S Ste 104
San Diego, CA 92108-3727
Phone
(619) 992-0851
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2025

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 LCS12604 CA Primary

Addresses

Primary practice location

2635 Camino del Rio S Ste 104
San Diego, CA 92108-3727

Mailing address

3705 Coconino CT
San Diego, CA 92117-2611
Phone (619) 525-3595

Other names 1

  • Mrs. Anne Elizabeth Clarkin-Watts Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 26, 2025 through Mar 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCS12604CAMDClinical Social Worker
12604CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1659321784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 COCONINO CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172611",
            "telephone_number": "619-525-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 CAMINO DEL RIO S STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083727",
            "telephone_number": "619-992-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKIN",
        "first_name": "ANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-05-02",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS12604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "CLARKIN-WATTS",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "credential": "L.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.