Individual provider Active NPI

Raquel Marie Carraway

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1750919460
Registry record updated Mar 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
83149 Issued in CA
Practice address
1616 W Shaw Ave Ste D1
Fresno, CA 93711-3513
Phone
(559) 549-4908
NPI assigned
Mar 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2020

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 83149 CA Primary

Addresses

Primary practice location

1616 W Shaw Ave Ste D1
Fresno, CA 93711-3513

Mailing address

1145 S Carriage Ave
Fresno, CA 93727-1146
Phone (209) 204-6116

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address raquel@carrawaycounseling.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213002339 CA Practitioner - Clinical Social Worker 3375992563 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reedley Community Hospital CurrentSince Jan 8, 2024 Accepting new patients
Reedley Community Hospital CurrentSince Jan 8, 2024 Accepting new patients

Locations

1212 Hanna Ave
Corcoran, CA 93212
Phone (559) 992-2800

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

1041 Rose Ave
Selma, CA 93662
Phone (559) 856-6090

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585440000000",
    "number": "1750919460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S CARRIAGE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271146",
            "telephone_number": "209-204-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 W SHAW AVE STE D1",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113513",
            "telephone_number": "559-549-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRAWAY",
        "first_name": "RAQUEL",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-29",
        "last_updated": "2020-03-29",
        "certification_date": "2020-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "83149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "raquel@carrawaycounseling.com",
            "affiliation": "N",
            "endpointDescription": "Direct business email address of Clinician",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct business email address of Clinician",
            "address_1": "1616 W Shaw Ave Ste D1",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937113513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.