Carrie Eberhardy, LCSW LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CARRIE EBERHARDY, LCSW LLC

Practice address

3600 Cerrillos Rd Ste 724E
Santa Fe, NM 87507-2690

Phone

(505) 819-3253

NPI assigned

Mar 18, 2020

Last updated

Aug 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carrie Eberhardy, LCSWNPI 1396986444

Title

Owner

Phone

(505) 819-3253

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carrie L. Eberhardy

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1396986444
  NPD Authorized official

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1255967550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 MONTEZUMA AVE # 379",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012835",
            "telephone_number": "505-819-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CERRILLOS RD STE 724E",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072690",
            "telephone_number": "505-819-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIE EBERHARDY, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "EBERHARDY",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-819-3253",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Janet Carpenter, DOM
• Jessica Carr, BMS
• Anika Carrasco Trujillo, LMSW
• Carrasco Wellness and Diabetes Care LLC
• Joan Louise Carrellas, M.D.
• Stephanie Carrillo
• Viridiana Carrillo
• Jeri C Carrion, BMS
• Alexa Rae Carroll, LMHC
• Barbara Ann Carter, PH.D.

• Community/Behavioral Health Agency in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.