Carol Ann Kemp, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

28062 Issued in TX

Practice address

2124 N 25TH St
Waco, TX 76708-3317

Phone

(254) 235-2430

Fax

(254) 235-2434

NPI assigned

Aug 23, 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 names 1

• Ms. Carol Ann Derosa Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Angels on the Horizon Therapeutic Center, LLC

  • Counselor
  • Killeen, TX
  • NPI 1780067090

  TX

  Medicare reassignment NPD
• Deer Oaks Geriatric Services P C

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1134169287

  TX

  Medicare reassignment NPD
• D & a Counseling

  • Psychologist
  • Bryan, TX
  • NPI 1295085520
  NPD (past)
• Grow Forward Counseling PLLC

  • Marriage & Family Therapist
  • College Station, TX
  • NPI 1548031305
  NPD (past)
• Travail Adaptations

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Copperas Cove, TX
  • NPI 1679041339
  NPD (past)
• Deer Oaks Mental Health Associates PC

  • Clinical Psychologist
  • Las Cruces, NM
  • NPI 1134175763
  NPD (past)

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1437439338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 N 25TH ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083317",
            "telephone_number": "254-235-2430",
            "fax_number": "254-235-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 N 25TH ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083317",
            "telephone_number": "254-235-2430",
            "fax_number": "254-235-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "28062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "DEROSA",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jack Kelly, DMD
• Mendy Kelly, LCSW
• Samuel Kelly
• Shannon Marie Kelly, SLP
• Dustin Dwain Kelm, PT, DPT
• Karen Cervenka Kemper, MD
• Annika Kempf, MD
• Zachry Thomas Kempf, DO
• Cassie E Kendrick, PSYD
• Matthew Locke Kendrick, M.D.

• All providers in Waco, TX
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.