Luana Carroll, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC17742 Issued in ME

Practice address

68 Bishop St
Portland, ME 04103-2681

Phone

(207) 423-7622

NPI assigned

May 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Luana Shepard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Luana Carroll, LCSW, LLC

  • Community/Behavioral Health Agency
  • Portland, ME
  • NPI 1841849007
  NPD Authorized official

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1629633417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "BUXTON",
            "state": "ME",
            "postal_code": "040930004",
            "telephone_number": "207-423-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 BISHOP ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032681",
            "telephone_number": "207-423-7622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 High St Ste 325",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "04101",
            "country_code": "US",
            "telephone_number": "207-423-7622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "142 High St Ste 325",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041012840",
            "country_code": "US",
            "telephone_number": "207-423-7622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "LUANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC17742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUANA",
            "last_name": "SHEPARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosario A Carrasco, M.D.
• Thomas Carraway
• Nicholas Walsh Carrellas, MD
• Carrie Ryba, LCPC
• Ann T Carroll, NNP
• Mary Anne Carroll, MD
• Maryann J Carroll, LCSW
• Robert David Carroll, LCSW
• Patrick S Carson, PA-C
• Bryan Carter

• Clinical Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.