Amanda R Carroll, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11022 Issued in LA

Practice address

1515 Doctors Dr Ste 4
Bossier City, LA 71111

Phone

(318) 703-6200

NPI assigned

Nov 19, 2015

Last updated

Jun 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.carroll.1@30520.direct.athenahealth.com

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.

• Next Generation Therapy Services

  • Clinical Social Worker
  • Bossier City, LA
  • NPI 1992297923
  Medicare reassignment Authorized official
• Senior Psychological Care of Louisiana, LLC

  • Psychologist
  • Napoleonville, LA
  • NPI 1992456867

  Clinical

  Medicare reassignment NPD
• Northwest Lousiana Human Services District

  dba Shreveport Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1821421686
  NPD
• Senior Psychcare of Louisiana, LLC

  • Psychiatry Physician
  • Napoleonville, LA
  • NPI 1821749789
  NPD

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527897600000",
    "number": "1215301833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 DOCTORS DR STE 4",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 DOCTORS DR STE 4",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "71111",
            "telephone_number": "318-703-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "AMANDA",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2018-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "11022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215301833",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth D Carlisle, FNP-C
• Ursula Maroski Carlisle, NP
• Carlye Abrams LPC LMFT Inc
• Tyrone Carpenter
• Jessica Carrion
• Buffey Carroll, RPH
• Bryon Carter
• John Richard Carter, M.D.
• Sherry Alfreda Carter
• Casale Medical Partners LLC

• Clinical Social Worker in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.