Cherleigh Carpenter, EDD, LICSW, LADC, MH

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27427 Issued in MN

Practice address

3333 N 4TH St
Minneapolis, MN 55412-2615

Phone

(612) 767-8671

Fax

(612) 827-1215

NPI assigned

Feb 16, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Cherleigh Carpenter Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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.

• Basic Needs

  • Early Intervention Provider Agency
  • Minneapolis, MN
  • NPI 1417489212

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1558800136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 NICOLLET AVE UNIT 19321",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191991",
            "telephone_number": "612-767-8671",
            "fax_number": "612-827-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N 4TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122615",
            "telephone_number": "612-767-8671",
            "fax_number": "612-827-1215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "471 Magnolia Av West",
            "address_purpose": "LOCATION",
            "city": "St. Paul",
            "state": "MN",
            "postal_code": "55130",
            "country_code": "US",
            "telephone_number": "612-803-4871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 E 38th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554075235",
            "country_code": "US",
            "telephone_number": "612-803-4871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "CHERLEIGH",
        "credential": "EDD, LICSW, LADC, MH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MN",
            "license": "390200000X",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27427",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MN",
            "license": "SEE-103TC2200X",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "307009",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1558800136",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERLEIGH",
            "last_name": "CARPENTER",
            "credential": "LGSW/MHP/EDD (05/17)",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Allison Ann Carolan, M.S. CCC-SLP
• Patrick L Carolan, MD
• Christine Caron, MS, LADC, LPCC
• Lydia Beth Caros, D.O.
• Adam Forbes Carpenter, M.D.
• Deanna Lynn Carpenter, PHD, LP
• Gwen Catherine Carpenter, RD
• Jennifer Carpenter, OTR
• Jillian Carpenter
• Laura Carpenter

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.

Verify at the official NPI Registry.