Active NPI
Carly Lyle
- Social Worker
- Fairbanks, AK
National Provider Identifier
1225813330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 224359
- Practice address
- 1825 Marika Rd
Fairbanks, AK 99709-5521 - Phone
- (907) 347-3357
- NPI assigned
- Aug 28, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 224359 | AK | Primary |
Addresses
Primary practice location
1825 Marika Rd
Fairbanks, AK 99709-5521
Mailing address
15 Farewell Ave Unit 316
Fairbanks, AK 99701-3584
Phone (907) 347-3357
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 |
|---|---|---|---|
| 224359 | AK | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780704000000",
"number": "1225813330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 FAREWELL AVE UNIT 316",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997013584",
"telephone_number": "907-347-3357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 MARIKA RD",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997095521",
"telephone_number": "907-347-3357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYLE",
"first_name": "CARLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-28",
"last_updated": "2026-06-06",
"certification_date": "2026-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AK",
"license": "224359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.