Organization Active NPI

Inner Sol Wellness Co., LLC

  • Clinical Social Worker
  • Eagle River, AK
National Provider Identifier
1790698066
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INNER SOL WELLNESS CO., LLC
Practice address
16948 Park Place St Apt 4
Eagle River, AK 99577-7883
Phone
(208) 270-4257
NPI assigned
Sep 25, 2026
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Carlie Jaramillo, LCSW
Title
Therapist
Phone
(208) 270-4257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

16948 Park Place St Apt 4
Eagle River, AK 99577-7883

Mailing address

16948 Park Place St Apt 4
Eagle River, AK 99577-7883
Phone (208) 270-4257

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1790698066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16948 PARK PLACE ST APT 4",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777883",
            "telephone_number": "208-270-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16948 PARK PLACE ST APT 4",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777883",
            "telephone_number": "208-270-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER SOL WELLNESS CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "JARAMILLO",
        "authorized_official_first_name": "CARLIE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "208-270-4257",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.