IndividualActive
Caroline Depottel, PHD LCSW
NPI 1194945212 · Psychoanalysis Psychologist · San Diego, CA
Provider details
- NPI number
- 1194945212
- Entity type
- Individual
- Primary specialty
- Psychoanalysis PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- LCS10997 (CA)
Practice location
5190 Governor Dr
Ste 102
San Diego, CA 92122-2848
Phone: (858) 455-0278
Fax: (858) 452-5729
Mailing address
5190 Governor Dr
San Diego, CA 92122-2848
Registry dates
- Enumerated
- 2007-04-30
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.