Lori D Carroll, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 10115 Issued in FL

Practice address

10501 Fgcu Blvd South
Department of Social Work
Fort Myers, FL 33965

Phone

(941) 637-8030

NPI assigned

Oct 10, 2011

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

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339891200000",
    "number": "1326322207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 FGCU BLVD SOUTH",
            "address_2": "DEPARTMENT OF SOCIAL WORK",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33965",
            "telephone_number": "941-637-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 FGCU BLVD SOUTH",
            "address_2": "DEPARTMENT OF SOCIAL WORK",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33965",
            "telephone_number": "941-637-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "LORI",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2012-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 10115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Carro Cruz
• Angela Carroll, P.T.A.
• Barbara J Carroll, CNM
• Christopher Carroll, P.T.
• Destiny Carroll, PHARMD
• Ta'Jariyah Carroll
• Michael J Carron, MD
• Myriam Angelica Carrucini
• Darlene Carswell, AP
• Liset Cartaya Riambaut

• Clinical Social Worker in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2012; 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.