Active NPI
Stephen M Carroll, LCSW
- Clinical Social Worker
- Haddonfield, NJ
National Provider Identifier
1578639142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC02860
- Practice address
- 6 Kings Hwy East
Haddonfield, NJ 08033 - Phone
- (856) 795-0397
- Fax
- (856) 795-0397
- NPI assigned
- Nov 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | SC02860 | NJ | Primary |
Addresses
Primary practice location
6 Kings Hwy East
Haddonfield, NJ 08033
Mailing address
6 Kings Hwy East
Haddonfield, NJ 08033
Phone (856) 795-0397
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC02860 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578639142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 KINGS HWY EAST",
"city": "HADDONFIELD",
"state": "NJ",
"postal_code": "08033",
"telephone_number": "856-795-0397",
"fax_number": "856-795-0397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 KINGS HWY EAST",
"city": "HADDONFIELD",
"state": "NJ",
"postal_code": "08033",
"telephone_number": "856-795-0397",
"fax_number": "856-795-0397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "STEPHEN",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "SC02860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haddonfield, NJ
- Jessica Lynn Cahill, RD
- Claire L Caltabiano, MD
- Theodore Camiscioli, M.D,
- Amy Beth Carnall, APN,C, DNP
- Jose A Carreras, M.D.
- CCS Dental LLC (Courtney Cleary DMD Family and Cosmetic Dentistry)
- Center for Intimate Relationships L.L.C. (Center for Intimate Relationships)
- Khayriyyah E.T. Chandler, DO
- Cathy Ann Chapman, M.S., CCC
- Ha Young Choi
Sources for this page
- 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.