Individual provider · Type 1 NPI

Carly Millsap

Clinical Social Worker · San Jose, CA

NPI number 1104297811 Active

Practice location

2001 The Alameda
San Jose, CA 95126-1136

Call (408) 261-7777 Map

Fax (408) 254-9960

Mailing address

654 Mary Evelyn Dr
San Jose, CA 95123-5519

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Mental Health Counselor 101YM0800XLAC08568T (AZ)

Clinical Social Worker: 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 interpers…

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About NPI 1104297811

Carly Millsap's National Provider Identifier is 1104297811, issued on Oct 8, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Jose, CA. The record was last updated on Oct 16, 2026.