Active NPI
Carrie Frances Eagles, LMSW
- Clinical Social Worker
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW006523
- Practice address
- 760 Broadway
Woodhull Hospital, 3C-350
Brooklyn, NY 11206-5317 - Phone
- (646) 242-1670
- Fax
- (718) 630-3030
- NPI assigned
- Nov 16, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 6925950UPD | NY | |
| Clinical Social Worker | 1041C0700X | CSW006523 | GA | Primary |
Addresses
Primary practice location
760 Broadway
Woodhull Hospital, 3C-350
Brooklyn, NY 11206-5317
Mailing address
760 Broadway
Woodhull Hospital, 3C-350
Brooklyn, NY 11206-5317
Phone (646) 242-1670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8800 Roswell Rd
Suite A135
Atlanta, GA 30350-1826
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW006523 | GA | MD | Clinical Social Worker |
| 6925950UPD | NY | MD | General Acute Care Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current | Accepting new patients |
Locations
8800 Roswell Rd
Ste A135
Sandy Springs, GA 30350
Phone (617) 395-5806
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
Organizations & group practices 1
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": "1289865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1235430695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 BROADWAY",
"address_2": "WOODHULL HOSPITAL, 3C-350",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112065317",
"telephone_number": "646-242-1670",
"fax_number": "718-630-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 BROADWAY",
"address_2": "WOODHULL HOSPITAL, 3C-350",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112065317",
"telephone_number": "646-242-1670",
"fax_number": "718-630-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAGLES",
"first_name": "CARRIE",
"middle_name": "FRANCES",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-16",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NY",
"license": "6925950UPD",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW006523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.