Active NPI
Concepcion Carrillo, ACSW
- Clinical Social Worker
- Santa Cruz, CA
National Provider Identifier
1770448060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW134836
- Practice address
- 5300 Soquel Ave
Santa Cruz, CA 95062-7805 - Phone
- (209) 576-1750
- NPI assigned
- Dec 18, 2025
- Last updated
- Dec 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW134836 | CA | Primary |
Addresses
Primary practice location
5300 Soquel Ave
Santa Cruz, CA 95062-7805
Mailing address
PO Box 1118
Freedom, CA 95019-1118
Phone (760) 373-6486
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW134836 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspiranet | Current | Accepting new patients | |
| Aspiranet | Current | Accepting new patients |
Locations
5300 Soquel Ave
Santa Cruz, CA 95062
Phone (209) 576-1750
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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dba Youth Crisis Residential Program
- Community/Behavioral Health Agency
- Santa Cruz, CA
- NPI 1568338697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1770448060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1118",
"city": "FREEDOM",
"state": "CA",
"postal_code": "950191118",
"telephone_number": "760-373-6486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 SOQUEL AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950627805",
"telephone_number": "209-576-1750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRILLO",
"first_name": "CONCEPCION",
"credential": "ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-18",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW134836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.