Individual provider Active NPI

Catherine Marie Peters

  • Clinical Social Worker
  • Carlsbad, CA
National Provider Identifier
1912490681
Registry record updated Apr 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119308 Issued in CA
Practice address
2244 Faraday Ave
Carlsbad, CA 92008-7208
Phone
(858) 461-8266
NPI assigned
Jun 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 119308 CA Primary
Mental Health Counselor 101YM0800X
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2244 Faraday Ave
Carlsbad, CA 92008-7208

Mailing address

1150 Garden View Rd Unit 230653
Encinitas, CA 92023-3027
Phone (858) 461-8266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 7, 2023 through Dec 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catie Peters LCSW Clinical CurrentSince Apr 21, 2024 Accepting new patients

Locations

2244 Faraday Ave
Carlsbad, CA 92008
Phone (858) 256-7986

1150 Garden View Rd
Unit 230653
Encinitas, CA 92023

Organizations & group practices 1

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": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713052800000",
    "number": "1912490681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 GARDEN VIEW RD UNIT 230653",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920233027",
            "telephone_number": "858-461-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 FARADAY AVE",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087208",
            "telephone_number": "858-461-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "CATHERINE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2024-04-14",
        "certification_date": "2024-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "119308",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.