MEDICARE: PHYLLIS ANNE CARLSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCSW16283	CA

General Provider Information

NPI Number	:	1487028700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHYLLIS ANNE CARLSON

Provider Business Mailing Address
First Line	:	389 N MAGNOLIA AVE
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92020-3977
Country	:	US
Telephone Number	:	619-401-3737
Fax Number	:	619-401-3741

Provider Business Practice Location Address
First Line	:	389 N MAGNOLIA AVE
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92020-3977
Country	:	US
Telephone Number	:	619-401-3737
Fax Number	:	619-401-3741

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/24/2015
Last Update Date	:	11/24/2015

Similar Medicare Providers

1043332174 — MISS ANA PILAR PETITTE LCSW
Practice Location Address:

389 N MAGNOLIA AVE
EL CAJON, CA
92020-3977

Practice Phone: 858-505-6704
Practice Fax:

1124571146 — LUIS ORTIZ
Practice Location Address:

389 N MAGNOLIA AVE
EL CAJON, CA
92020-3977

Practice Phone: 619-401-3770
Practice Fax: 619-401-3990

1497614051 — JULIUS VILLAMAR DEL CARMEN
Practice Location Address:

1870 CORDELL CT STE 102
EL CAJON, CA
92020-0915

Practice Phone: 855-223-7123
Practice Fax:

1023977519 — ALEXIS GIBSON
Practice Location Address:

1870 CORDELL CT STE 102
EL CAJON, CA
92020-0915

Practice Phone: 855-223-7123
Practice Fax:

1811855539 — JON LOLATTE
Practice Location Address:

1870 CORDELL CT STE 102
EL CAJON, CA
92020-0915

Practice Phone: 855-223-7123
Practice Fax: 619-374-7134

1295693877 — WILLIAM SHEHAN
Practice Location Address:

396 N MAGNOLIA AVE
EL CAJON, CA
92020-3908

Practice Phone: 858-264-5858
Practice Fax:

Directions to “ PHYLLIS ANNE CARLSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.