Active NPI
Annettia J Macken, MSW
- Social Worker
- Carlsbad, CA
National Provider Identifier
1952641177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 35005
- Practice address
- 6621 Santa Isabel St Unit 111
Carlsbad, CA 92009-5958 - Phone
- (760) 814-7538
- NPI assigned
- Feb 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 35005 | CA | Primary |
Addresses
Primary practice location
6621 Santa Isabel St Unit 111
Carlsbad, CA 92009-5958
Mailing address
6621 Santa Isabel St Unit 111
Carlsbad, CA 92009-5958
Phone (760) 814-7538
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1952641177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6621 SANTA ISABEL ST UNIT 111",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920095958",
"telephone_number": "760-814-7538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6621 SANTA ISABEL ST UNIT 111",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920095958",
"telephone_number": "760-814-7538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKEN",
"first_name": "ANNETTIA",
"middle_name": "J",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-25",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "35005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.