Tana Rae Carpita, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00005497 Issued in WA

Practice address

1700 NW Gilman Blvd Ste 205
Issaquah, WA 98027-5364

Phone

(425) 588-9280

NPI assigned

Jun 21, 2017

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1750801734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10206 NE 60TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337438",
            "telephone_number": "206-890-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NW GILMAN BLVD STE 205",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275364",
            "telephone_number": "425-588-9280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2310 130th Ave NE Ste B101",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980051799",
            "country_code": "US",
            "telephone_number": "425-588-9280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPITA",
        "first_name": "TANA",
        "middle_name": "RAE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caryssa Ann Reyes Carlos, DPT
• Gail Estelle Carlson, CPHT, PHARMACY TECH
• Kimberly Beth Carlson, RN
• Peter James Carlson, PT
• Susan Therese Carney, PT
• Dylan Rose Carr, MSW
• Jacquelyn Dyer Carr
• Jonathan Carroll, PHARM.D.
• Susan Kay Carroll, RDH
• Amanda Marie Carter, MA60503968

• Clinical Social Worker in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.