Carrie Lynn Didlake, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005240 Issued in NC

Practice address

215 Lewis Creek Dr
Hendersonville, NC 28792-6895

Phone

(828) 685-2028

Fax

(828) 258-0031

NPI assigned

Oct 8, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1164757191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 LEWIS CREEK DR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287926895",
            "telephone_number": "828-685-2028",
            "fax_number": "828-258-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 LEWIS CREEK DR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287926895",
            "telephone_number": "828-685-2028",
            "fax_number": "828-258-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDLAKE",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Deterville, LPC
• Andrea Detwiler, RN, BSN, IBCLC
• Jaynamarie Dever, PT, DPT
• Melissa Priscilla Dewing, MSN, APRN-FNP-C
• Juana Diaz Perez, PA-C
• Emily Lauren Diehl Felty, PHD, LCSW
• Sharon D Dills
• Gergana Damianova Dimitrova, M.D.
• Joanna Divalentino, MD
• Brion Lindsay Dixon, PA-C

• Clinical Social Worker in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.