Active NPI
Carly Rae Marohl, LCSW, CSAC
- Clinical Social Worker
- Milwaukee, WI
National Provider Identifier
1366817926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 151 S 84TH St
Milwaukee, WI 53214-1456 - Phone
- (414) 476-3710
- NPI assigned
- Dec 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16933-130 | WI | |
| Social Worker | 104100000X | 129904-121 | WI | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
151 S 84TH St
Milwaukee, WI 53214-1456
Mailing address
4757 N 76TH St
Milwaukee, WI 53218-4732
Phone (414) 358-4167
Other practice location 1
4757 N 76th St
Milwaukee, WI 53218-4732
Phone (414) 358-4167
Other names 1
- Mrs. Carly Rae Maris
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16933-130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 129904-121 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1366817926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4757 N 76TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532184732",
"telephone_number": "414-358-4167",
"fax_number": "414-358-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 S 84TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532141456",
"telephone_number": "414-476-3710"
}
],
"practiceLocations": [
{
"address_1": "4757 N 76th St",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532184732",
"country_code": "US",
"telephone_number": "414-358-4167",
"fax_number": "414-358-5002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAROHL",
"first_name": "CARLY",
"middle_name": "RAE",
"name_prefix": "Ms.",
"credential": "LCSW, CSAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-08",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "16933-130",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "129904-121",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARLY",
"last_name": "MARIS",
"middle_name": "RAE",
"prefix": "MRS.",
"credential": "MSW, APSW, SAC-IT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.