Lauren Renee Carroll, M.S CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

014945-1 Issued in NY

Practice address

300 Mount Airy Rd W
Croton on Hudson, NY 10520-3212

Phone

(917) 597-8579

NPI assigned

Oct 17, 2008

Last updated

Oct 8, 2019By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1447402789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MOUNT AIRY RD W",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105203212",
            "telephone_number": "917-597-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MOUNT AIRY RD W",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105203212",
            "telephone_number": "917-597-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "LAUREN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "M.S CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "014945-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGIST",
            "identifier": "014945-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "014945-1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Neiman Burgo, NP
• Laura Burnett
• Marianne Calo, R.N.
• Camp Shane
• Christopher John Campo, P.T., D.P.T.
• Amanda Josephine Casey, LMSW
• Samantha Catalano, IBCLC
• Amanda Cavalieri
• Jessica Ashley Chamish, MD
• Ellen Y. Chan-Liu, R.PH.

• Speech-Language Pathologist in Croton on Hudson, NY
• Providers in Croton on Hudson, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.