Individual provider Active NPI

Michelle C Carrieri, SPECIAL EDUCATOR, MS

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1497017222
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
089662 Issued in NY
Practice address
1083 McDonald Ave
Brooklyn, NY 11230-2651
Phone
(718) 421-7444
Fax
(718) 421-7229
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY
Social Worker 104100000X 089662 NY Primary

Addresses

Primary practice location

1083 McDonald Ave
Brooklyn, NY 11230-2651

Mailing address

1083 McDonald Ave
Brooklyn, NY 11230-2651
Phone (718) 421-7444

Other names 1

  • Michelle C. Rader Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
089662NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1497017222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302651",
            "telephone_number": "718-421-7444",
            "fax_number": "718-421-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302651",
            "telephone_number": "718-421-7444",
            "fax_number": "718-421-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIERI",
        "first_name": "MICHELLE",
        "middle_name": "C",
        "credential": "SPECIAL EDUCATOR, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "089662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "RADER",
            "middle_name": "C.",
            "credential": "MS ED, LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.