Carrie Poulson Expressive Art Therapies

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CARRIE POULSON EXPRESSIVE ART THERAPIES

Practice address

9740 Nutby Drive
Escondido, CA 92026

Phone

(858) 216-5633

NPI assigned

Dec 8, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Carrie L Poulson, LCSWNPI 1093960254

Title

Owner

Phone

(858) 216-5633

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carrie Poulson Expressive Art Therapies Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carrie L Poulson, LCSW

  • Clinical Social Worker
  • Escondido, CA
  • NPI 1093960254
  NPD Authorized official

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1730890963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N ESCONDIDO BLVD UNIT 1225",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920337050",
            "telephone_number": "858-216-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9740 NUTBY DRIVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "92026",
            "telephone_number": "858-216-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIE POULSON EXPRESSIVE ART THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "POULSON",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-216-5633",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "99742",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "carrie.poulson24@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Make appointments or contact owner",
            "address_1": "403 N Escondido Blvd Unit 1225",
            "city": "Escondido",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920337050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Carrie Poulson Expressive Art Therapies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aisha Carpenter
• Nathan William Carpenter
• Angelica Maria Carrasco
• Consuelo Carrasco
• Kristine Carrasco, PHARMD
• Amayra Carrillo
• Citlalli Carrillo
• Erika Carrillo, RDH, RDA
• Juan Carlos Carrillo
• Robert Paul Carrillo, MD

• Clinical Social Worker in Escondido, CA
• Providers in Escondido, 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 Dec 8, 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.