Active NPI
Cassie Nicole Carroll, LISW-CP
- Clinical Social Worker
- Aiken, SC
National Provider Identifier
1205292901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11526
- Practice address
- 410 University Pkwy
Aiken, SC 29801-6810 - Phone
- (803) 335-1219
- NPI assigned
- Jan 11, 2016
- Last updated
- Oct 11, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 11526 | SC | Primary |
Addresses
Primary practice location
410 University Pkwy
Aiken, SC 29801-6810
Mailing address
101 Kyle Rd
Graniteville, SC 29829-3154
Phone (762) 241-7161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11526 | SC | MD | Procedural Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1205292901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 KYLE RD",
"city": "GRANITEVILLE",
"state": "SC",
"postal_code": "298293154",
"telephone_number": "762-241-7161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 UNIVERSITY PKWY",
"city": "AIKEN",
"state": "SC",
"postal_code": "298016810",
"telephone_number": "803-335-1219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "CASSIE",
"middle_name": "NICOLE",
"credential": "LISW-CP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-11",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "11526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.