Carrie E. Provins, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW018434 Issued in PA

Practice address

450 Gibner Rd
Carlisle, PA 17013-5090

Phone

(717) 245-4602

Fax

(717) 245-4653

NPI assigned

Nov 2, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1013243609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 GIBNER RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170135090",
            "telephone_number": "717-245-4602",
            "fax_number": "717-245-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 GIBNER RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170135090",
            "telephone_number": "717-245-4602",
            "fax_number": "717-245-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVINS",
        "first_name": "CARRIE",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pranati G Tati, DMD,PC
• Kimberly Preske
• Primary Care Associates of Carlisle
• Stephany A Primrose, P.T.
• Julian A Procope, M.D.
• Terry L Pruett-Fisher, P.T.
• Kayla Skortz Puerzer, M.ED., LBS
• Kaitlyn Brooke Querry
• Muhammad A Qureshi, MD
• R a Scholl Enterprises Inc

• Clinical Social Worker in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.