Individual provider Active NPI

Carrie Carlevaro

  • Clinical Social Worker
  • Nottingham, MD
National Provider Identifier
1629211404
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14833 Issued in MD
Practice address
4920 Campbell Blvd
Kaiser Permanente White Marsh Medical Center
Nottingham, MD 21236-5916
Phone
(410) 933-7600
NPI assigned
Apr 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14833 MD Primary

Addresses

Primary practice location

4920 Campbell Blvd
Kaiser Permanente White Marsh Medical Center
Nottingham, MD 21236-5916

Mailing address

2101 E Jefferson St
Kaiser Permanente Medical Enrollment
Rockville, MD 20852-4908
Phone (301) 816-2424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160915002573 MA Practitioner - Clinical Social Worker 2062560329 Reassigns benefits to 1 organization
Practice locations: Northampton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

68 Crafts Ave
Suite 2R
Northampton, MA 01060-3806
Phone (443) 690-8002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Group, P.C. CurrentSince Sep 1, 2016 Accepting new patients
Valley Medical Group, P.C. Clinical CurrentSince Sep 1, 2016 Accepting new patients

Locations

329 Conway St
Greenfield, MA 01301
Phone (413) 774-6301

70 Main St
Northampton, MA 01062
Phone (413) 586-8400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1629211404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 E JEFFERSON ST",
            "address_2": "KAISER PERMANENTE MEDICAL ENROLLMENT",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524908",
            "telephone_number": "301-816-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 CAMPBELL BLVD",
            "address_2": "KAISER PERMANENTE WHITE MARSH MEDICAL CENTER",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365916",
            "telephone_number": "410-933-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLEVARO",
        "first_name": "CARRIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.