MRS. GLORIA F CARROLL L.C.S.W.
NPI 1073067500
Social Worker - Clinical in Vallejo, CA

Active since August 12, 2016
631 TENNESSEE ST, STE 202, VALLEJO, CA 94590(925) 565-0823 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 24, 2017 and 2 more (5 updates tracked since 2016).

About Mrs. Gloria F Carroll L.c.s.w. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. GLORIA F CARROLL L.C.S.W. (NPI 1073067500) is an individual clinical provider in Vallejo, California, licensed in California (72812) and active in the NPI registry since August 2016. She maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1073067500
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. GLORIA F CARROLLCredential: L.C.S.W.
Location Address631 TENNESSEE ST, STE 202Vallejo, CA 94590-4432
Mailing Address6355 Telegraph Ave Ste 308Oakland, CA 94609-1375 · (925) 565-0823
Sole ProprietorYes
Enumeration DateAugust 12, 2016
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPI 1073067500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 72812
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.

631 TENNESSEE ST, Vallejo, CA 94590

Secondary Practice Location 1

Location 16355 Telegraph Ave Ste 308Oakland, CA 94609-1375 · Phone (707) 430-8458 · Fax (925) 281-1603

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Counseling)
631 TENNESSEE ST
VALLEJO, CA 94590
Community/Behavioral Health
631 TENNESSEE ST
VALLEJO, CA 94590
Marriage & Family Therapist
631 TENNESSEE ST
VALLEJO, CA 94590
Marriage & Family Therapist
631 TENNESSEE ST
VALLEJO, CA 94590
Marriage & Family Therapist
631 TENNESSEE ST
VALLEJO, CA 94590
Social Worker (Clinical)
631 TENNESSEE ST
VALLEJO, CA 94590
Social Worker (Clinical)
631 TENNESSEE ST
VALLEJO, CA 94590

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073067500, enumerated as an "individual" on August 12, 2016.

The provider is located at 631 TENNESSEE ST STE 202 VALLEJO, CA 94590 and the phone number is (925) 565-0823.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.