Active NPI
Christie Carr
- Clinical Social Worker
- Cecilia, KY
National Provider Identifier
1588025316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 253681
- Practice address
- 931 E Main St
Cecilia, KY 42724-7614 - Phone
- (844) 435-0900
- Fax
- (270) 858-4029
- NPI assigned
- Mar 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 253681 | KY | Primary |
| Social Worker | 104100000X | 6784 | KY |
Addresses
Primary practice location
931 E Main St
Cecilia, KY 42724-7614
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 253681 | KY | MD | Clinical Social Worker |
| 6784 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1588025316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1080",
"city": "BURKESVILLE",
"state": "KY",
"postal_code": "427171080",
"telephone_number": "270-858-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 E MAIN ST",
"city": "CECILIA",
"state": "KY",
"postal_code": "427247614",
"telephone_number": "844-435-0900",
"fax_number": "270-858-4029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "CHRISTIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-07",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "253681",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "6784",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cecilia, KY
- McKayla Ashton Basham, APRN
- Rachel Mae Benavidez, M. S., CCC-SLP
- Travis L Billings, LCSW
- Bethany Larimore Brown, LPCC
- Tracey Renee Bryant, LPCC
- Cornerstone Counseling Center, PLLC
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.