Alisa Monique Carr, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27129 Issued in TX

Practice address

4403 Manchaca Rd
Suite D
Austin, TX 78745-1680

Phone

(512) 297-8717

Fax

(888) 395-2986

NPI assigned

Sep 23, 2006

Last updated

Feb 22, 2021By 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 1

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

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye of the Heart, PA

  • Clinical Social Worker
  • Austin, TX
  • NPI 1174898910
  Medicare reassignment Authorized official
• Galaxy Counseling Center

  • Community/Behavioral Health Agency
  • Garland, TX
  • NPI 1184854945
  NPD (past)
• Galaxy Counseling Center

  • Mental Health Counselor
  • Garland, TX
  • NPI 1730249368
  NPD (past)

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1457451114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6204 SOFTWOOD DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787444524",
            "telephone_number": "512-297-8717",
            "fax_number": "888-395-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 MANCHACA RD",
            "address_2": "SUITE D",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451680",
            "telephone_number": "512-297-8717",
            "fax_number": "888-395-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "ALISA",
        "middle_name": "MONIQUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "27129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB152569",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Carpenter
• Sarah Carpenter, LPC,SEP
• Sarah Marie Carpenter, D.D.S.
• Elise Carper, RN, MA, ANP, AOCN
• Carr & Smith Dental PLLC
• Amy Carr, PHARMD
• Andrew Carr
• Blaine Carr, PHD
• Cameron Carr
• Carin Elyce Carr, APRN, CPNP-AC/PC

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.