MRS. SARA ELLEN CARRILLO


Address: Child and Family Behavioral Health Services, 9040 Jackson Ave, Tacoma, WA 98531-0001
Phone: 2539684843

MRS. SARA ELLEN CARRILLO (NPI# 1942497789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942497789
Entity Type Individual
Full Name MRS. SARA ELLEN CARRILLO
Credential MSW, LICSW,MHP
Practice Address Child and Family Behavioral Health Services
9040 Jackson Ave
Tacoma
WA 98531-0001
Mailing Address Madigan Army Medical Center
9040 Jackson Ave
Tacoma
WA 98531-0001
Practice Telephone 2539684843
Enumeration Date 2007-09-25
Last Update Date 2019-02-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 104100000X Social Worker LW00009454 WA Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
3971 OR Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
LW00009454 WA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
UNKNOWN UNKNOWN 01
MADIGAN ARMY MEDICAL CENTER NONE 01

Other Providers SARA CARRILLO

NPI Name Taxonomy Address Enumeration
1952840613 Sara Carrillo Counselor 130 W Gabilan St, Salinas, CA 93901-2762 2017-02-14

Office Location

Street Address CHILD AND FAMILY BEHAVIORAL HEALTH SERVICES
9040 JACKSON AVE
City TACOMA
State WA
Zip Code 98531-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306462205 Jelisa Renae Thomas Counselor 3510 Steelhammer Ln, Centralia, WA 98531 2020-06-17
1205498607 Jennifer Kristine Mcglynn Paterno Counselor 2428 W. Reynods Ave, Centralia, WA 98531 2019-07-05
1538646328 Adam Jeffrey Moore Counselor 3510 Steelhammer Lane, Centralia, WA 98531 2018-07-24
1144706698 Euijeong Kim Occupational Therapist Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 2018-07-18
1104315266 Margaret Fowler Floyd Registered Nurse Centralia High School, 813 Eshom Road, Centralia, WA 98531 2018-05-04
1124545777 Samantha Michelle Moody Speech-Language Pathologist Centralia School District, 2320 Borst Ave, Centralia, WA 98531 2017-08-24
1821520289 Alexa Franks Behavior Technician 2428 West Reynolds Ave., Centralia, WA 98531 2017-04-03
1023559861 Brandy Michelle Peterson Counselor 135 W. Main Steet, Centralia, WA 98531 2017-03-13
1841738812 Graceful Healing Naturopathic Naturopath 219 N Tower Ave, Suite 304, Centralia, WA 98531 2017-02-09
1043681513 Angela Naillon Counselor 2428 West Reynolds, Centralia, WA 98531 2015-10-09
Find all providers in zip 98531

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144827551 Heidi Elizabeth Hartz Social Worker 9040 Jackson Ave Joint Base Lewis-mcchord, Tacoma, WA 98431-0001 2020-10-08
1184241556 Michele Therese Peyton Social Worker 4652 E Q St, Tacoma, WA 98404-4528 2020-07-01
1689293433 Zowa Saysan Thompson Social Worker 4847 S 7th St, Tacoma, WA 98405-1206 2020-04-12
1548898638 Cimberleigh Mclean Social Worker 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 2020-04-01
1811534845 Jasmine Gregory Social Worker 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 2019-12-10
1740826593 Kerry Ann Shaughnessy Social Worker 3516 S 47th St Ste 203, Tacoma, WA 98409-4475 2019-11-26
1669039897 Katherine Marie Ginn Social Worker 1402 S 11th St, Tacoma, WA 98405-3608 2019-05-22
1285112763 Sheri Lynn Waller Social Worker 535 Dock St Ste 108, Tacoma, WA 98402-4629 2018-08-06
1003312612 Jennifer I. Soto Social Worker 1432 N Baltimore St, Tacoma, WA 98406-2702 2018-04-03
1295233955 Lori A Jensen Social Worker 317 M.l.k. Jr Way, Tacoma, WA 98405 2018-01-29
Find all providers in TACOMA

Competitor

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City TACOMA
Zip Code 98531

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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