Individual provider Active NPI

Carrie Higgins Towle, LCSW

  • Clinical Social Worker
  • Rensselaer, NY
National Provider Identifier
1144542267
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086721-01 Issued in NY
Practice address
1641 3Rd St
Rensselaer, NY 12144
Phone
(518) 463-8869
Fax
(518) 463-8733
NPI assigned
Feb 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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 086721-01 NY Primary

Addresses

Primary practice location

1641 3Rd St
Rensselaer, NY 12144

Mailing address

1641 3Rd St
Rensselaer, NY 12144-1539
Phone (518) 463-8869

Other identifiers 2

IdentifierTypeStateIssuer
086721-01OtherNYNYS EDUACATION DEPARTMENT LICENSE
078859OtherNYNYS EDUCATION DEPARTMENT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 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
I20141205001678 NY Practitioner - Clinical Social Worker 7911229729 Reassigns benefits to 1 organization
I20240119003058 SC Practitioner - Clinical Social Worker 7911229729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oceanic Counseling Group LLCGroup PAC ID 4486067600, 42 clinicians

Practice addresses (Care Compare)

11947 Grandhaven Dr
Suite N
Murrells Inlet, SC 29576-7862
Phone (843) 894-0000

1304 Professional Dr
Suite E
Myrtle Beach, SC 29577-5712
Phone (843) 894-0000

PO Box
Suite 16091
Surfside Beach, SC 29587-6091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
086721-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rensselaer County Bureau of Finance CurrentSince Oct 1, 2014 Accepting new patients
Oceanic Counseling Group LLC CurrentSince Jan 1, 2024 Accepting new patients
Oceanic Psychiatric Medicine PastSince Apr 6, 2023 Accepting new patients

Locations

1641 3rd St
Rensselaer, NY 12144
Phone (518) 463-8869

1600 7th Ave
Troy, NY 12180
Phone (518) 270-2800

11947 Grandhaven Dr
Ste N
Murrells Inlt, SC 29576
Phone (843) 652-4600

1304 Professional Dr
Ste E
Myrtle Beach, SC 29577

215 Ronnie Ct
Ste C
Myrtle Beach, SC 29579
Phone (843) 712-1979

Organizations & group practices 3

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": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1144542267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 3RD ST",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121441539",
            "telephone_number": "518-463-8869",
            "fax_number": "518-463-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 3RD ST",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "12144",
            "telephone_number": "518-463-8869",
            "fax_number": "518-463-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWLE",
        "first_name": "CARRIE",
        "middle_name": "HIGGINS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-16",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086721-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS EDUACATION DEPARTMENT LICENSE",
            "identifier": "086721-01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS EDUCATION DEPARTMENT",
            "identifier": "078859",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rensselaer, NY

Sources for this page

Verify at the official NPI Registry.