Individual provider Active NPI

Carol Cowen, LCSW

  • Clinical Social Worker
  • Santa Cruz, CA
National Provider Identifier
1972804383
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW24784 Issued in CA
Practice address
104 Walnut Ave
Suite 208
Santa Cruz, CA 95060-3900
Phone
(831) 423-9444
Fax
(831) 423-1532
NPI assigned
Nov 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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 LCSW24784 CA Primary

Addresses

Primary practice location

104 Walnut Ave
Suite 208
Santa Cruz, CA 95060-3900

Mailing address

600 Park Ave
18C
Capitola, CA 95010-3731
Phone (831) 332-9975

Other practice location 1

2901 Park Ave Ste A3
Soquel, CA 95073-2831
Phone (831) 346-6767

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
I20110210001137 CA Practitioner - Clinical Social Worker 5597945378 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW24784CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Agency of the Central Coast CurrentSince Dec 1, 2010 Accepting new patients
Family Service Agency of the Central Coast Past Accepting new patients

Locations

104 Walnut Ave
Ste 208
Santa Cruz, CA 95060
Phone (831) 423-1532

104 Walnut Ave
Ste 212
Santa Cruz, CA 95060
Phone (408) 423-9444

2901 Park Ave
Ste A3
Soquel, CA 95073
Phone (831) 346-6767

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": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1972804383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PARK AVE",
            "address_2": "18C",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103731",
            "telephone_number": "831-332-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WALNUT AVE",
            "address_2": "SUITE 208",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603900",
            "telephone_number": "831-423-9444",
            "fax_number": "831-423-1532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Park Ave Ste A3",
            "address_purpose": "LOCATION",
            "city": "Soquel",
            "state": "CA",
            "postal_code": "950732831",
            "country_code": "US",
            "telephone_number": "831-346-6767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COWEN",
        "first_name": "CAROL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW24784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.