Active NPI
Carol Humbert
- Clinical Social Worker
- Amarillo, TX
National Provider Identifier
1144967001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 58340
- Practice address
- 3419 S Coulter St Ste 6a
Amarillo, TX 79109-3998 - Phone
- (806) 410-0066
- Fax
- (806) 410-1656
- NPI assigned
- May 12, 2022
- Last updated
- May 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 58340 | TX | Primary |
Addresses
Primary practice location
3419 S Coulter St Ste 6a
Amarillo, TX 79109-3998
Mailing address
3419 S Coulter St Ste 6a
Amarillo, TX 79109-3998
Phone (806) 410-0066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 25, 2025 through Mar 25, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58340 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1144967001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3419 S COULTER ST STE 6A",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791093998",
"telephone_number": "806-410-0066",
"fax_number": "806-410-1656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3419 S COULTER ST STE 6A",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791093998",
"telephone_number": "806-410-0066",
"fax_number": "806-410-1656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMBERT",
"first_name": "CAROL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-12",
"last_updated": "2022-05-12",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "58340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.