Carolyn Ann Beckner, MSSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

407 Issued in KY

Practice address

4010 Dupont Cir
Suite L05-C
Louisville, KY 40207-4812

Phone

(502) 899-7030

Fax

(502) 899-7030

NPI assigned

Feb 16, 2007

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

Other names 1

• Ms. Carolyn Beckner Milby Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487798310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43231",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402530231",
            "telephone_number": "502-899-7030",
            "fax_number": "502-899-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR",
            "address_2": "SUITE L05-C",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074812",
            "telephone_number": "502-899-7030",
            "fax_number": "502-899-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKNER",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000042919",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "MILBY",
            "middle_name": "BECKNER",
            "prefix": "MS.",
            "credential": "MSSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Evelyn Marrett Beckman, FNP
• Olivia Beckman, MSSW, LCSW
• Taralein Beckmann
• Kori Sierra Becknell, MS, OTR/L
• Melissa Lynn Becknell, ARNP
• Emily Rose Beckwith, OTR/L
• Becky Rattray LPCC
• Jane Bederman, ARNP
• Lisseth Corina Bediako, PTA
• Pauline Bednarick

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.