Maria Theresa Carrington, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

215210 Issued in MA

Practice address

711 St Helens Ave Ste 103B
Tacoma, WA 98402-3736

Phone

(253) 426-0763

NPI assigned

Sep 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Maria Theresa Dveirin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2021 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1366690406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 ST HELENS AVE STE 103B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023736",
            "telephone_number": "253-426-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 ST HELENS AVE STE 103B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023736",
            "telephone_number": "253-426-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRINGTON",
        "first_name": "MARIA",
        "middle_name": "THERESA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW60308917",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "215210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "DVEIRIN",
            "middle_name": "THERESA",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Carrell
• Myra Drew Carreon, M.D.
• Isabella Pia Carreras-Thresher
• Francesca E Carreras-Velez
• Sara Ellen Carrillo, MSW, LICSW,MHP
• Jennifer Carroll
• Katelyn Carroll
• Mia Elizabeth Carroll, RPH
• Steven Randall Carroll II
• Vanessa Vanessa Carroll, M.D.

• Clinical Social Worker in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.