Carolyn Hutchings Carino, LMSW, ACSW, SPADA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801034469 Issued in MI

Practice address

4519 Cascade Rd SE
Suite 3
Grand Rapids, MI 49546-3666

Phone

(616) 949-6262

Fax

(616) 425-2003

NPI assigned

Apr 14, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1417247107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 CASCADE RD SE",
            "address_2": "SUITE 3",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463666",
            "telephone_number": "616-949-6262",
            "fax_number": "616-425-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 CASCADE RD SE",
            "address_2": "SUITE 3",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463666",
            "telephone_number": "616-949-6262",
            "fax_number": "616-425-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARINO",
        "first_name": "CAROLYN",
        "middle_name": "HUTCHINGS",
        "name_prefix": "Ms.",
        "credential": "LMSW, ACSW, SPADA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801034469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NASW ACADEMY OF CERTIFIED SOCIAL WORKERS",
            "identifier": "881817049",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sarah Dixcy Carlisle, P.A.
• Carlson Eye Care, LLC

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.