Individual provider Active NPI

Margaret Anne Decarlis, LSCSW, LCSW-C, LISW

  • Clinical Social Worker
  • Canton, OH
National Provider Identifier
1184810863
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07007 Issued in MD
Practice address
1594 Wellingshire St NE
Canton, OH 44721-2042
Phone
(913) 982-6250
NPI assigned
Sep 17, 2007
Last updated
May 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSCSW4892 KS
Clinical Social Worker 1041C0700X I.2304778 OH
Clinical Social Worker 1041C0700X 2018043959 MO
Clinical Social Worker 1041C0700X 07007 MD Primary

Addresses

Primary practice location

1594 Wellingshire St NE
Canton, OH 44721-2042

Mailing address

1594 Wellingshire St NE
Canton, OH 44721-2042
Phone (913) 982-6250

Other practice location 1

3012 Ponte Vedra Ct
Ellicott City, MD 21042-2145
Phone (410) 750-3828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MD, MO, KS4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20250428003177 OH Practitioner - Clinical Social Worker 8527584010 Reassigns benefits to 2 organizations
I20250619001940 MD Practitioner - Clinical Social Worker 8527584010 Reassigns benefits to 2 organizations
I20250619002214 MO Practitioner - Clinical Social Worker 8527584010 Reassigns benefits to 1 organization
I20250620000488 KS Practitioner - Clinical Social Worker 8527584010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians
Sondermind PAGroup PAC ID 3577099621, 78 clinicians

Practice addresses (Care Compare)

107 W 9TH St
FL 2
Kansas City, MO 64105-1705
Phone (866) 630-0966

1910 Towne Centre Blvd
Suite 250
Annapolis, MD 21401-3599
Phone (866) 630-0966

20 S 3Rd St
Suite 210
Columbus, OH 43215-4206
Phone (866) 630-0966

801 E Douglas Ave
FL 2
Wichita, KS 67202-3548
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSCSW4892KSMDClinical Social Worker
07007MDMDClinical Social Worker
2018043959MOMDClinical Social Worker
I.2304778OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Sondermind, P.a. Clinical CurrentSince Jun 13, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince May 22, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Apr 21, 2025 Accepting new patients

Locations

801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353

1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891

107 W 9th St
Fl 2
Kansas City, MO 64105
Phone (505) 382-2776

4625 Lindell Blvd
Ste 200300
Saint Louis, MO 63108
Phone (314) 396-7900

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

800 N High St
Columbus, OH 43215
Phone (631) 540-8225

Interoperability endpoints

  • Direct secure messaging: margaretdecarlis@tdh.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747440000000",
    "number": "1184810863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 WELLINGSHIRE ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212042",
            "telephone_number": "913-982-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1594 WELLINGSHIRE ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212042",
            "telephone_number": "913-982-6250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3012 Ponte Vedra Ct",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210422145",
            "country_code": "US",
            "telephone_number": "410-750-3828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECARLIS",
        "first_name": "MARGARET",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LSCSW, LCSW-C, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW4892",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304778",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018043959",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.