Emily Decarlo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009304 Issued in VA

Practice address

360 Campbell Ave SW
Roanoke, VA 24016-3625

Phone

(540) 563-5316

Fax

(540) 563-5316

NPI assigned

May 30, 2017

Sex

Female

Sole proprietor

No

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)

Not 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.

• Family Service of Roanoke Valley

  • Counselor
  • Roanoke, VA
  • NPI 1457397457

  Clinical

  NPD (past)

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496102400000",
    "number": "1447788856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CAMPBELL AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163625",
            "telephone_number": "540-563-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CAMPBELL AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163625",
            "telephone_number": "540-563-5316",
            "fax_number": "540-563-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECARLO",
        "first_name": "EMILY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2017-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Jordan Deal, MD
• Maria Dearing, LPC
• Rodney James Snodgrass Deaton, M.D.
• Debra Marks, PSYD PLC
• William Taylor Debusk, M.D.
• Caitlin M. Decker, PTA
• Tiffany Lynn Deel, FNP-BC, NP-C
• Peter Deforest, CRNA
• Degc Enterprises (U.S.), Inc.
• Fikre Woldeamlak Degefu, M.D.

• Clinical Social Worker in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; 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.