Carolyn Jean Duvall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

26 Tranquility RDG
Edwardsville, IL 62025-4901

Phone

(618) 656-0690

NPI assigned

Aug 20, 2007

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)

Enrolled

State licenses

Practice roles

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.

• Practical Rehab Services, LTD.

  • Rehabilitation Clinic/Center
  • Alton, IL
  • NPI 1770565491
  NPD (past)
• Residential Psychiatric Services, Inc.

  • Clinical Social Worker
  • Farmington, MO
  • NPI 1467453894
  NPD (past)

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1376736868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 TRANQUILITY RDG",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620254901",
            "telephone_number": "618-656-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 TRANQUILITY RDG",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620254901",
            "telephone_number": "618-656-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVALL",
        "first_name": "CAROLYN",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri Dudley, DNP, RN, NE-BC
• Katelyn Duniphan
• David Scott Dunivan, D.M.D.,M.S.
• Rebecca Lynn Dunn, D.M.D.
• Cheyenne Renee Durham, OT
• Jaime Sue Dwiggins
• Kelsey L Dyer, RBT
• Eat Practical LLC
• Abby Jo Eccles, DPT
• Emily C Eckhardt

• Clinical Social Worker in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.