Active NPI
Carrara Counseling Services LLC
- Clinical Social Worker
- Plymouth, MI
National Provider Identifier
1639854839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CARRARA COUNSELING SERVICES LLC
- Practice address
- 42115 Old Pond Cir
Plymouth, MI 48170-2586 - Phone
- (313) 701-7777
- NPI assigned
- Jun 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy L Carrara, LMSW
- Title
- Licensed Master of Social Work
- Phone
- (313) 701-7777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
42115 Old Pond Cir
Plymouth, MI 48170-2586
Mailing address
42115 Old Pond Cir
Plymouth, MI 48170-2586
Phone (313) 701-7777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686873600000",
"number": "1639854839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42115 OLD POND CIR",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481702586",
"telephone_number": "313-701-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42115 OLD POND CIR",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481702586",
"telephone_number": "313-701-7777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARRARA COUNSELING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-16",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A",
"authorized_official_last_name": "CARRARA",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "LICENSED MASTER OF SOCIAL WORK",
"authorized_official_telephone_number": "313-701-7777",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.