Shatoia Marie Carroll, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW024092 Issued in PA

Practice address

201 W 11TH St
Erie, PA 16501-1701

Phone

(833) 487-5769

Fax

(814) 315-9564

NPI assigned

Mar 27, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Journey to a Trauma-Informed Life

  • Community/Behavioral Health Agency
  • Erie, PA
  • NPI 1518522242
  NPD

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

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1497332183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 COLLEGE DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337644818",
            "telephone_number": "814-504-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 11TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011701",
            "telephone_number": "833-487-5769",
            "fax_number": "814-315-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "SHATOIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-27",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.simplepractice.com/users/sign_in",
            "affiliation": "N",
            "endpointDescription": "Simple Practice EMS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "201 W 8th St",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165011625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edward James Carrig, M.S.,C.C.C.-A
• Faye Carrig, MS, CCC-SLP
• Lois Annette Carrig, LPC
• Brooke Carroll
• Sean Thomas Carroll, D.O.
• Timothy Martin Carroll, AGACNP-BC
• Kayla Carson
• Suzanne Mary Carstater, PA-C
• Carter Orthopedics LTD
• Joseph Harper Carter Jr., CPO

• Clinical Social Worker in Erie, PA
• Providers in Erie, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.