Active NPI
Terence Carroll, MSS
- Clinical Social Worker
- Ardmore, PA
National Provider Identifier
1497994297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW002495L
- Practice address
- 700 Ardmore Ave Apt 524
Ardmore, PA 19003-1109 - Phone
- (610) 649-6242
- NPI assigned
- Feb 18, 2009
- Last updated
- Feb 18, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW002495L | PA | Primary |
Addresses
Primary practice location
700 Ardmore Ave Apt 524
Ardmore, PA 19003-1109
Mailing address
700 Ardmore Ave Apt 524
Ardmore, PA 19003-1109
Phone (610) 649-6242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Living Behavioral Health LCSW PLLC | Clinical | Current | Accepting new patients |
Locations
400 W 63rd St
New York, NY 10069
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234915200000",
"number": "1497994297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ARDMORE AVE APT 524",
"city": "ARDMORE",
"state": "PA",
"postal_code": "190031109",
"telephone_number": "610-649-6242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 ARDMORE AVE APT 524",
"city": "ARDMORE",
"state": "PA",
"postal_code": "190031109",
"telephone_number": "610-649-6242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "TERENCE",
"name_prefix": "Mr.",
"credential": "MSS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-18",
"last_updated": "2009-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW002495L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.