Lynn Theresa Carolin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS20004 Issued in CA

Practice address

3725 Westwind Blvd
Santa Rosa, CA 95403-1099

Phone

(707) 565-5971

NPI assigned

Nov 2, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• Lomi School Foundation

  • Mental Health Counselor
  • Santa Rosa, CA
  • NPI 1437171543
  NPD
• Memory Check Psychological Services, a Professional Corporation

  • Clinical Psychologist
  • Carlsbad, CA
  • NPI 1912184219
  NPD

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1659550978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 WESTWIND BLVD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031099",
            "telephone_number": "707-565-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 WESTWIND BLVD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031099",
            "telephone_number": "707-565-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROLIN",
        "first_name": "LYNN",
        "middle_name": "THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn M. Carnell, M.T.
• Carmen Carnes
• Sheila Diane Carney, CADC I
• Rebekah Carniglia
• Eileen M Carol, F.N.P.
• John Andrew Carollo Jr.
• Cameron Scott Carpenter
• Crystal Carpenter
• Ann Elizabeth Carpico, RPH
• Anna Carr

• Clinical Social Worker in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.