Holly Lanette Carroll, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-44620 Issued in ID

Practice address

420 North 2ND Ave, PMB #2
Suite 102
Sandpoint, ID 83864

Phone

(208) 627-9849

Fax

(208) 719-7951

NPI assigned

May 28, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• 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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: holly.carroll.p1@direct.kch.nextgenshare.com

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.

• Sunrise Wellness

  • Mental Health Counselor
  • Sandpoint, ID
  • NPI 1730995820
  NPD (past) Authorized official
• Sandpoint Psychotherapy LLC

  • Mental Health Counselor
  • Sandpoint, ID
  • NPI 1427179746
  NPD
• Healing Partners Equestrian Program

  • Community/Behavioral Health Agency
  • Priest River, ID
  • NPI 1679764898
  NPD (past)

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1124430970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NORTH 2ND AVE, PMB #2",
            "address_2": "SUITE 102",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "83864",
            "telephone_number": "208-627-9849",
            "fax_number": "208-719-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 NORTH 2ND AVE, PMB #2",
            "address_2": "SUITE 102",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "83864",
            "telephone_number": "208-627-9849",
            "fax_number": "208-719-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "HOLLY",
        "middle_name": "LANETTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-44620",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "33168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy L Burns, LAC, EAMP
• Shawna Butz, LMT
• Jeffrey Calderon Soto Sr., LPC
• Emily Callaghan
• Ashley Renee Carlson, FNP-BC
• Cassie Peck Counseling LLC
• Amanda G Caswell-Burt, DDS
• Charity Catlin, LM, CPM
• Cecilia Alleen Cecil, LCSW
• Nicole Chamberlain, IBCLC

• Clinical Social Worker in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.