Jennifer C Carroll, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1024944 Issued in MA

Practice address

129 North Main St
Mansfield, MA 02048

Phone

(508) 261-2888

NPI assigned

Dec 26, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1144404286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 NORTH MAIN ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "02048",
            "telephone_number": "508-261-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 NORTH MAIN ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "02048",
            "telephone_number": "508-261-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1024944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P07270",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Campbell
• Carpen, Inc.
• Tracy Lynn Carraggi, MSN, AGACNP, PMHNP
• Rebecca Lee Carrigan
• Christine Carroll, RD
• Christine E Cassidy, M.A., LMHC
• Kyra Da Yun Cavicchi
• Robin Beth Cavicchi, M.S.,CCC-SLP
• Kelly Celeste, ED.D.
• Michael A Cerasuolo, RPH

• Mental Health Counselor in Mansfield, MA
• Providers in Mansfield, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.