Healthcare Provider Details

I. General information

NPI: 1619201621
Provider Name (Legal Business Name): CARYN HUSK BA, MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2009
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 E MAIN ST FL 3
SANTA PAULA CA
93060-2748
US

IV. Provider business mailing address

725 E MAIN ST
SANTA PAULA CA
93060-2748
US

V. Phone/Fax

Practice location:
  • Phone: 805-933-8480
  • Fax:
Mailing address:
  • Phone: 805-933-8480
  • Fax: 505-242-1551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number119907
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: