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RENEE M CARROLL LCSW, RN
NPI 1972604544
Social Worker - Clinical in San Diego, CA

Active since September 26, 2006
12625 HIGH BLUFF DR STE 215, SAN DIEGO, CA 92130(858) 794-9074(858) 794-8180 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renee M Carroll Lcsw, Rn NPPES

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

RENEE M CARROLL LCSW, RN (NPI 1972604544) is an individual clinical provider in San Diego, California, licensed in California (LCSW 16046) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1972604544
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameRENEE M CARROLLCredential: LCSW, RN
Location Address12625 HIGH BLUFF DR STE 215San Diego, CA 92130-2054
Mailing Address12625 High Bluff Dr Ste 215San Diego, CA 92130-2054 · (858) 794-9074 · Fax (858) 794-8180
Phone(858) 794-9074
Fax(858) 794-8180
Sole ProprietorYes
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972604544 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 · LCSW 16046
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.
12625 HIGH BLUFF DR STE 215, San Diego, CA 92130
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Other Identifiers 1

OtherLCS 16046CA · Lcs License

Other Providers at the Same Location NPPES 3

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

CHRISTOPHER JOHN ZURES
Counselor (Professional)
12625 HIGH BLUFF DR STE 215
SAN DIEGO, CA 92130
San Diego County (619) 213-2079
DR. AMANDA HAN PSY.D.
Psychologist (Clinical)
12625 HIGH BLUFF DR STE 215
SAN DIEGO, CA 92130
San Diego County (626) 589-6155
DR. DANIELLE ANNE HABER M.D.
Psychiatry & Neurology (Psychiatry)
12625 HIGH BLUFF DR STE 215
SAN DIEGO, CA 92130
San Diego County (858) 401-9922

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 Renee Carroll's NPI number?

The NPI number for Renee Carroll is 1972604544. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Renee Carroll located?

Renee Carroll practices at 12625 High Bluff Dr Ste 215, San Diego, CA 92130. The listed phone number is (858) 794-9074.

What is Renee 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 Renee Carroll was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.