Individual provider Active NPI

Alyse C Carroll, LISW

  • Clinical Social Worker
  • Waverly, OH
National Provider Identifier
1356691109
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1200038 Issued in OH
Practice address
13800 US Highway 23
Waverly, OH 45690-9402
Phone
(740) 947-8777
NPI assigned
Sep 19, 2012
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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 I1200038 OH Primary

Addresses

Primary practice location

13800 US Highway 23
Waverly, OH 45690-9402

Mailing address

48 N Watt St
Chillicothe, OH 45601-2765
Phone (740) 649-2424

Other practice location 1

455 Shawnee Ln
Chillicothe, OH 45601-4145
Phone (740) 779-4888

Other names 1

  • Alyse Klupenger Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.counseling@adena.medicity.net

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20121117000092 OH Practitioner - Clinical Social Worker 3375794597 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I1200038OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action Committee of Pike County Current Accepting new patients
Community Action Committee of Pike County CurrentSince Jul 10, 2025 Accepting new patients
Adena Medical Group LLC CurrentSince Sep 19, 2012 Accepting new patients
Community Action Committee of Pike County CurrentSince Jul 10, 2025 Accepting new patients
Community Action Committee of Pike County Current Accepting new patients
Community Action Committee of Pike County Current Accepting new patients
Community Action Committee of Pike County Current Accepting new patients
Adena Health System Past Accepting new patients
Community Action Committee of Pike County Past Accepting new patients
Community Action Committee of Pike County Past Accepting new patients

Locations

455 Shawnee Ln
Chillicothe, OH 45601
Phone (740) 779-4865

1414 Piketon Rd
Piketon, OH 45661
Phone (740) 289-4456

1420 Piketon Rd
Piketon, OH 45661
Phone (740) 289-1638

941 Market St
Piketon, OH 45661
Phone (740) 289-2371

621 Broadway St
Portsmouth, OH 45662
Phone (740) 370-4234

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

13800 US Highway 23
Waverly, OH 45690
Phone (740) 947-2480

227 Valley View Dr
Waverly, OH 45690
Phone (740) 947-7726

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1356691109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 N WATT ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012765",
            "telephone_number": "740-649-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 US HIGHWAY 23",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909402",
            "telephone_number": "740-947-8777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Shawnee Ln",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456014145",
            "country_code": "US",
            "telephone_number": "740-779-4888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "ALYSE",
        "middle_name": "C",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1200038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.counseling@adena.medicity.net",
            "affiliation": "N",
            "address_1": "455 Shawnee Ln",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456014145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALYSE",
            "last_name": "KLUPENGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waverly, OH

Sources for this page

Verify at the official NPI Registry.