Individual provider Active NPI

Jasmine Carpio, LCSW

  • Clinical Social Worker
  • Tempe, AZ
National Provider Identifier
1861063190
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-20573 Issued in AZ
Practice address
2020 S McClintock Dr Ste 101
Tempe, AZ 85282-2691
Phone
(480) 788-6169
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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 LCSW-20573 AZ Primary

Addresses

Primary practice location

2020 S McClintock Dr Ste 101
Tempe, AZ 85282-2691

Mailing address

1905 E University Dr Unit 259
Tempe, AZ 85281-4680
Phone (480) 232-5870

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

LicenseStateTypeSpecialty
LCSW-20573AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Rebuilt CurrentSince Jul 31, 2022 Accepting new patients
Katie Plukas PLLC Dba Salt & Light Counseling Services Counselor PastSince Jul 17, 2021 Accepting new patients

Locations

2020 S McClintock Dr
Ste 101
Tempe, AZ 85282
Phone (480) 559-9682

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": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1861063190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 E UNIVERSITY DR UNIT 259",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852814680",
            "telephone_number": "480-232-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S MCCLINTOCK DR STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822691",
            "telephone_number": "480-788-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPIO",
        "first_name": "JASMINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-20573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.