Individual provider Active NPI

Kristine Rickards, LCSW

  • Clinical Social Worker
  • Carlsbad, CA
National Provider Identifier
1861508509
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS6586 Issued in CA
Practice address
2646 Unicornio St
Carlsbad, CA 92009-5333
Phone
(760) 518-2137
Fax
(760) 585-2284
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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 LCS6586 CA Primary

Addresses

Primary practice location

2646 Unicornio St
Carlsbad, CA 92009-5333

Mailing address

2945 Harding St Ste 105
Carlsbad, CA 92008-1818
Phone (619) 464-1601

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
I20120130000426 CA Practitioner - Clinical Social Worker 1759548019 Practice locations: Carlsbad, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2646 Unicornio St
Carlsbad, CA 92009-5333
Phone (760) 518-2137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS6586CAMDClinical Social Worker
6586CAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1861508509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 HARDING ST STE 105",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081818",
            "telephone_number": "619-464-1601",
            "fax_number": "760-585-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 UNICORNIO ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920095333",
            "telephone_number": "760-518-2137",
            "fax_number": "760-585-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKARDS",
        "first_name": "KRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS6586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.