Individual provider Active NPI

Carol Ann Golly, LCSW

  • Clinical Social Worker
  • Naples, FL
National Provider Identifier
1326161985
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6001 Issued in FL
Practice address
2800 Davis Blvd
Suite 212
Naples, FL 34104-4363
Phone
(239) 417-3031
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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 6001 FL Primary

Addresses

Primary practice location

2800 Davis Blvd
Suite 212
Naples, FL 34104-4363

Mailing address

1515 Mullet LN
Naples, FL 34102-1518
Phone (239) 775-2668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240402001528 FL Practitioner - Clinical Social Worker 7113365719

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6200 Autumn Oaks LN
Naples, FL 34119-8633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6001FLMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Baker Senior Center Naples Inc Clinical CurrentSince Mar 25, 2024 Accepting new patients

Locations

6200 Autumn Oaks Ln
Naples, FL 34119
Phone (239) 325-4444

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1326161985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 MULLET LN",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341021518",
            "telephone_number": "239-775-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 DAVIS BLVD",
            "address_2": "SUITE 212",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341044363",
            "telephone_number": "239-417-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLY",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "6001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.