Individual provider Active NPI

Ishara O'Carroll

  • Clinical Social Worker
  • Stamford, CT
National Provider Identifier
1437632213
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
32 Strawberry Hill CT
Stamford, CT 06902-2594
Phone
(203) 276-2473
NPI assigned
Sep 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CT
Social Worker 104100000X NY
Clinical Social Worker 1041C0700X NY
Clinical Social Worker 1041C0700X CT Primary

Addresses

Primary practice location

32 Strawberry Hill CT
Stamford, CT 06902-2594

Mailing address

32 Strawberry Hill CT
Stamford, CT 06902-2594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20241003002528 CT Practitioner - Clinical Social Worker 9830620616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

32 Strawberry Hill CT
Stamford, CT 06902-2594
Phone (203) 276-2442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Health Medical Group Inc CurrentSince Sep 9, 2024 Accepting new patients
The Guidance Center of Westchester PastSince May 16, 2021 Accepting new patients
The Guidance Center of Westchester, Inc Past Accepting new patients

Locations

32 Strawberry Hill Ct
Stamford, CT 06902
Phone (203) 276-2000

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

32 Strawberry Hill Ct
Fl 4
Stamford, CT 06902
Phone (203) 276-4255

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1437632213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 STRAWBERRY HILL CT",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 STRAWBERRY HILL CT",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022594",
            "telephone_number": "203-276-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CARROLL",
        "first_name": "ISHARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.