Individual provider Active NPI

Carly Ciacci

  • Case Manager/Care Coordinator
  • Mingo Junction, OH
National Provider Identifier
1043047152
Registry record updated Sep 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
APS.005347 Issued in OH
Practice address
220 Murdock St
Mingo Junction, OH 43938-1062
Phone
(740) 314-8195
NPI assigned
Sep 14, 2024
Last updated
Sep 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X APS.005347 OH Primary

Addresses

Primary practice location

220 Murdock St
Mingo Junction, OH 43938-1062

Mailing address

220 Murdock St
Mingo Junction, OH 43938-1062

Other practice location 1

1524 Sunset Blvd Ste A
Steubenville, OH 43952-1380
Phone (800) 691-6113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APS.005347OHMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1726272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1043047152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MURDOCK ST",
            "city": "MINGO JUNCTION",
            "state": "OH",
            "postal_code": "439381062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MURDOCK ST",
            "city": "MINGO JUNCTION",
            "state": "OH",
            "postal_code": "439381062",
            "telephone_number": "740-314-8195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1524 Sunset Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Steubenville",
            "state": "OH",
            "postal_code": "439521380",
            "country_code": "US",
            "telephone_number": "800-691-6113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIACCI",
        "first_name": "CARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-14",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "APS.005347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mingo Junction, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.