Carolyn Faucette, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0900303-SUPR Issued in OH

Practice address

1350 5TH Ave Ste 320
Youngstown, OH 44504-1765

Phone

(330) 542-6573

Fax

(202) 970-5606

NPI assigned

Oct 26, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Faucette Child and Family Counseling, Inc.

  • Mental Health Counselor
  • Youngstown, OH
  • NPI 1629430764
  Medicare reassignment NPD Authorized official
• Faucette Child & Family Counseling

  • Community/Behavioral Health Agency
  • Youngstown, OH
  • NPI 1639594195
  NPD Authorized official
• Trumbull Mahoning Medical Group, Inc.

  • Internal Medicine Physician
  • Youngstown, OH
  • NPI 1538353883
  NPD (past)

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1316247232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 5TH AVE STE 320",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041765",
            "telephone_number": "330-542-6573",
            "fax_number": "202-970-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 5TH AVE STE 320",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041765",
            "telephone_number": "330-542-6573",
            "fax_number": "202-970-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUCETTE",
        "first_name": "CAROLYN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I0900303S",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0900303",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0900303-SUPR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0161000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1629430764",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Fasick, D.O
• Nazeefa Fatima, M.D.
• Shokat M Fatteh, M.D.
• Faucette Child & Family Counseling
• Faucette Child and Family Counseling, Inc.
• Rodney James Faulkiner, M.D.
• Jennifer L Fautas, ACNS-BC
• Montez Favors
• Richard Lee Fawcett
• Nafees Fazal, CRNA

• Clinical Social Worker in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.

Verify at the official NPI Registry.