Active NPI
Carl Reed II
- Clinical Social Worker
- Escondido, CA
National Provider Identifier
1669167193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 119423
- Practice address
- 474 W Vermont Ave Ste 101
Escondido, CA 92025-6584 - Phone
- (760) 480-2255
- NPI assigned
- Apr 10, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | 119423 | CA | Primary |
Addresses
Primary practice location
474 W Vermont Ave Ste 101
Escondido, CA 92025-6584
Mailing address
474 W Vermont Ave Ste 101
Escondido, CA 92025-6584
Phone (760) 480-2255
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1669167193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "474 W VERMONT AVE STE 101",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920256584",
"telephone_number": "760-480-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "474 W VERMONT AVE STE 101",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920256584",
"telephone_number": "760-480-2255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "CARL",
"name_prefix": "Mr.",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-10",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "119423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.