Individual provider · Type 1 NPI

Krystal Isabel Carrillo

Clinical Social Worker · San Diego, CA

NPI number 1871906735 Active

Practice location

2130 National Ave
San Diego, CA 92113

Mailing address

823 Gateway Center Way
San Diego, CA 92102-4541

Other practice locations

  • 2535 Kettner Blvd, Suite 1A4, San Diego, CA 92101-1250 · (619) 615-0701
  • 525 E Main St, El Cajon, CA 92020-4007 · (619) 515-2498

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700X80068 (CA)

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 1871906735

Krystal Isabel Carrillo's National Provider Identifier is 1871906735, issued on Jun 9, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Jul 31, 2018.