Individual provider Active NPI

Carmen Naomi Sosa, MSW

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1831222900
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW66850 Issued in CA
Practice address
1350 S Orange Ave
Fresno, CA 93702-3463
Phone
(559) 457-5400
Fax
(559) 457-5490
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCSW66850 CA
Clinical Social Worker 1041C0700X LCSW66850 CA Primary

Addresses

Primary practice location

1350 S Orange Ave
Fresno, CA 93702-3463

Mailing address

1350 S Orange Ave
Fresno, CA 93702-3463
Phone (559) 457-5400

Other identifiers 1

IdentifierTypeStateIssuer
ASW 27367OtherCAASSOCIATE CLINICAL SOCIAL WORKER

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
I20150903000009 CA Practitioner - Clinical Social Worker 1355657560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

1510 N Lafayette Ave
Fresno, CA 93728-1100
Phone (559) 457-6860

1685 E Home Ave
Fresno, CA 93728-2027
Phone (559) 457-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW66850CAMDMental Health Counselor
66850CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Jul 7, 2015 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista Past Accepting new patients

Locations

302 Fresno St
Ste 101
Fresno, CA 93706
Phone (559) 457-5700

2740 S Elm Ave
Fresno, CA 93706
Phone (559) 457-5200

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

145 N Clark St
Fresno, CA 93701
Phone (559) 457-5200

Organizations & group practices 3

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1831222900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S ORANGE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023463",
            "telephone_number": "559-457-5400",
            "fax_number": "559-457-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S ORANGE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023463",
            "telephone_number": "559-457-5400",
            "fax_number": "559-457-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA",
        "first_name": "CARMEN",
        "middle_name": "NAOMI",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW66850",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW66850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATE CLINICAL SOCIAL WORKER",
            "identifier": "ASW 27367",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.