Individual provider Active NPI

Carla Battle Nolan, LCSW

  • Clinical Social Worker
  • Bel Air, MD
National Provider Identifier
1073733796
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3733 Issued in OR
Practice address
336 S Main St
Bel Air, MD 21014-3978
Phone
(410) 836-0820
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3733 OR Primary

Addresses

Primary practice location

336 S Main St
Bel Air, MD 21014-3978

Mailing address

PO Box 418
Havre de Grace, MD 21078-0418
Phone (541) 817-7815

Other practice location 1

9620 NE Tanasbourne Dr Ste 300
Hillsboro, OR 97124-7844
Phone (541) 293-8485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, OR2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110801000052 MD Practitioner - Clinical Social Worker 5698943074 Reassigns benefits to 1 organization
I20221104000749 OR Practitioner - Clinical Social Worker 5698943074 Practice locations: Hillsboro, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oic Counseling Services, Inc.Group PAC ID 3375718950, 8 clinicians

Practice addresses (Care Compare)

336 S Main St
Suite 1C
Bel Air, MD 21014-3978
Phone (410) 836-0820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3733ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oic Counseling Services, Inc. CurrentSince Nov 5, 2013 Accepting new patients

Locations

336 S Main St
Ste 1C
Bel Air, MD 21014
Phone (410) 836-0820

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1073733796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210780418",
            "telephone_number": "541-817-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S MAIN ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143978",
            "telephone_number": "410-836-0820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9620 NE Tanasbourne Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971247844",
            "country_code": "US",
            "telephone_number": "541-293-8485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "CARLA",
        "middle_name": "BATTLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "3733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.