Active NPI
Katherine M Carrill, LCSW
- Clinical Social Worker
- Clarks Summit, PA
National Provider Identifier
1629850995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW027687
- Practice address
- 106 Stone Ave
Clarks Summit, PA 18411-1538 - Phone
- (570) 904-7363
- Fax
- (570) 227-1591
- NPI assigned
- Oct 19, 2023
- Last updated
- Sep 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | CW027687 | PA | Primary |
Addresses
Primary practice location
106 Stone Ave
Clarks Summit, PA 18411-1538
Mailing address
606 Meadow LN
Clarks Summit, PA 18411-2410
Phone (570) 766-2752
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 |
|---|---|---|---|
| SW140785 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thaxton Holistic Wellness Center | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1629850995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 MEADOW LN",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184112410",
"telephone_number": "570-766-2752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 STONE AVE",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184111538",
"telephone_number": "570-904-7363",
"fax_number": "570-227-1591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRILL",
"first_name": "KATHERINE",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-19",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW027687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarks Summit, PA
- Caregivers America Hospice Services, LLC.
- Caregivers America LLC
- Caregivers America Medical Supply
- Caregivers America Medical Supply, LLC
- Amanda Carling, PT
- Cassandra Casey
- Michael Cassano, PHYSICAL THERAPIST
- Jennifer Cavalieri
- Cellerari Pharmacy Inc (The Medicine Shoppe Pharmacy)
- Jack L Cellerari, R.PH.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.