Individual provider Active NPI

Carol Whitescarver, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1467572818
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-18360 Issued in AZ
Practice address
1110 E Missouri Ave Ste 340
Phoenix, AZ 85014-2753
Phone
(602) 932-3336
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34004268A IN
Clinical Social Worker 1041C0700X LCSW-18360 AZ Primary

Addresses

Primary practice location

1110 E Missouri Ave Ste 340
Phoenix, AZ 85014-2753

Mailing address

2118 N Chrysler Dr
Tucson, AZ 85716-2906
Phone (505) 274-2461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20211108002101 AZ Practitioner - Clinical Social Worker 2769555135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1110 E Missouri Ave
Suite 340
Phoenix, AZ 85014-2753
Phone (602) 357-9986

4801 S Lakeshore Dr
Suite 207
Tempe, AZ 85282-7157
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-18360AZMDClinical Social Worker
34004268AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teris Health Services LLC CurrentSince Jan 16, 2023 Accepting new patients
Teri'S Health Services CurrentSince Jan 16, 2023 Accepting new patients

Locations

14040 N Cave Creek Rd
Ste 205
Phoenix, AZ 85022
Phone (602) 358-7073

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1467572818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 N CHRYSLER DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162906",
            "telephone_number": "505-274-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E MISSOURI AVE STE 340",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142753",
            "telephone_number": "602-932-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESCARVER",
        "first_name": "CAROL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004268A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-18360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.