Individual provider Active NPI

Dorothy S Carroll

  • Clinical Social Worker
  • Saco, ME
National Provider Identifier
1265747166
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC4673 Issued in ME
Practice address
90 Beach St
Saco, ME 04072-2812
Phone
(207) 284-4505
Fax
(207) 284-5951
NPI assigned
Aug 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC4673 ME Primary

Addresses

Primary practice location

90 Beach St
Saco, ME 04072-2812

Mailing address

90 Beach St
Saco, ME 04072-2812
Phone (207) 284-4505

Other names 1

  • Debbie S Carroll Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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

Enrollment IDStateProvider typePAC IDDetails
I20221227000403 ME Practitioner - Clinical Social Worker 1759766777 Practice locations: Saco, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

74 Beach St
Saco, ME 04072-2984
Phone (207) 321-1589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC4673MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dorothy S. Carroll Clinical PastSince Aug 1, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1265747166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BEACH ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040722812",
            "telephone_number": "207-284-4505",
            "fax_number": "207-284-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BEACH ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040722812",
            "telephone_number": "207-284-4505",
            "fax_number": "207-284-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "DOROTHY",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC4673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBBIE",
            "last_name": "CARROLL",
            "middle_name": "S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saco, ME

Sources for this page

Verify at the official NPI Registry.