Individual provider Active NPI

Carolyn Marie Warrick, DDIV, ANP-BC

  • Adult Development & Aging Psychologist
  • Liberty Lake, WA
National Provider Identifier
1922957562
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Development & Aging PsychologistTaxonomy code 103TA0700X
License
AP70085480 Issued in WA
Practice address
22751 E Appleway Ave # D11
Liberty Lake, WA 99019-8511
Phone
(509) 924-6161
NPI assigned
Jan 27, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X AP70085480 WA Primary

Addresses

Primary practice location

22751 E Appleway Ave # D11
Liberty Lake, WA 99019-8511

Mailing address

1324 N Liberty Lake Rd # 276
Liberty Lake, WA 99019-8523
Phone (509) 924-6161

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
AP70085480WAMDAdult Development & Aging Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1922957562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 N LIBERTY LAKE RD # 276",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990198523",
            "telephone_number": "509-924-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22751 E APPLEWAY AVE # D11",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990198511",
            "telephone_number": "509-924-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARRICK",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDIV, ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "WA",
            "license": "AP70085480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.