Elizabeth Carroll-Clarke, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

074537 Issued in NY

Practice address

39 Collegeview Ave
Poughkeepsie, NY 12603-7202

Phone

(914) 489-7632

NPI assigned

May 16, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Poughkeepsie City Schools

  • School Social Worker
  • Poughkeepsie, NY
  • NPI 1962748236
  NPD (past)

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

{
    "created_epoch": "1589587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589587200000",
    "number": "1235751975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RAKER RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126035631",
            "telephone_number": "914-489-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 COLLEGEVIEW AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126037202",
            "telephone_number": "914-489-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL-CLARKE",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-16",
        "last_updated": "2020-05-16",
        "certification_date": "2020-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Pucek, N. P., P.C.
• Brittney C Carpenter
• Kelley Layne Carr, DPT
• Barry Carrington, LPN
• Raquel L Carrington, CASAC-T
• Jane E Carroll, PTA
• Madison Carroll
• Anne Carruthers, LCSW
• Isaiah M Carter
• Jeffrey John Carter, ATC, CSCS

• Clinical Social Worker in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.