Mikaela Carrillo Escobar, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW95156 Issued in CA

Practice address

9408 Twin Trails Dr Unit 102
San Diego, CA 92129-2624

Phone

(831) 578-1001

NPI assigned

Jul 20, 2022

Last updated

Jul 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1720713902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9408 TWIN TRAILS DR UNIT 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292624",
            "telephone_number": "831-578-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9408 TWIN TRAILS DR UNIT 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292624",
            "telephone_number": "831-578-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "MIKAELA",
        "middle_name": "CARRILLO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW95156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Elaine Escobar
• Jessica Joanna Escobar
• Jonathan Quinn Escobar, DO
• Juan Francisco Escobar Jr., IDC
• Katya Vanessa Escobar
• Shawna Renee Escobar, M.D.
• Trevor Alexander Escobedo Corn, M.A.
• Carolina Escobedo Sanchez
• Adilene Escobedo
• Alicia Escobedo

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.