Active NPI
Erin Carroll, LCSW
- Clinical Social Worker
- Methuen, MA
National Provider Identifier
1043967540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 226927
- Practice address
- 100A Haverhill St
Methuen, MA 01844-4297 - Phone
- (978) 682-5276
- NPI assigned
- Mar 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 226927 | MA | Primary |
Addresses
Primary practice location
100A Haverhill St
Methuen, MA 01844-4297
Mailing address
100A Haverhill St
Methuen, MA 01844-4297
Phone (978) 682-5276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226927 | Other | MA | LCSW |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Methuen |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 226927 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Ann'S Home and School | Current | Accepting new patients |
Locations
100A Haverhill St
Methuen, MA 01844
Phone (978) 682-5276
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Methuen, MA
- NPI 1295482792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646352000000",
"number": "1043967540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100A HAVERHILL ST",
"city": "METHUEN",
"state": "MA",
"postal_code": "018444297",
"telephone_number": "978-682-5276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100A HAVERHILL ST",
"city": "METHUEN",
"state": "MA",
"postal_code": "018444297",
"telephone_number": "978-682-5276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "ERIN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-04",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "226927",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "226927",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Methuen",
"affiliation": "N",
"address_1": "100A Haverhill St",
"city": "Methuen",
"state": "MA",
"country_code": "US",
"postal_code": "018444297",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.