MARY CATHERINE CARROLL
NPI 1205474897
Social Worker - Clinical in South Pasadena, CA

Active since December 15, 2019
205 PASADENA AVE, SOUTH PASADENA, CA 91030(323) 344-5536 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 26, 2021, Dec 15, 2019 (2 updates tracked since 2019).

About Mary Catherine Carroll NPPES

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

MARY CATHERINE CARROLL (NPI 1205474897) is an individual clinical provider in South Pasadena, California, licensed in California (100009) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1205474897
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY CATHERINE CARROLL
Location Address205 PASADENA AVESouth Pasadena, CA 91030-2919
Mailing Address205 Pasadena AveSouth Pasadena, CA 91030-2919 · (323) 344-5536
Sole ProprietorYes
Enumeration DateDecember 15, 2019
Last NPPES UpdateFebruary 26, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2021
NPI 1205474897 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 · 100009
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.
205 PASADENA AVE, South Pasadena, CA 91030

Other Identifiers 4

Other7184CA · Medical
Other7667CA · Medical
Other7368CA · Medical
Other7708CA · Medical

Other Providers at the Same Location NPPES 20

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

Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Social Worker
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Student in an Organized Health Care Education/Training Program
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Carroll's NPI number?

The NPI number for Mary Carroll is 1205474897. It was assigned to this individual provider in the NPPES registry on December 15, 2019.

Where is Mary Carroll located?

Mary Carroll practices at 205 Pasadena Ave, South Pasadena, CA 91030. The listed phone number is (323) 344-5536.

What is Mary Carroll's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mary Carroll was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.