Mary Patricia Carr, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110706 Issued in MA

Practice address

367 Pine St
Springfield, MA 01105-1930

Phone

(413) 737-1426

Fax

(413) 739-9988

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669589297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 SURREY RD",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181143",
            "telephone_number": "413-739-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 PINE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051930",
            "telephone_number": "413-737-1426",
            "fax_number": "413-739-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "MARY",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA BEHAVIORAL HEALTH",
            "identifier": "PO7971",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Elizabeth Carpenter
• Wayne D Carpenter, PH.D.
• Phillip Anthony Carpino, P.A.
• Amy Carr
• Christa Carr
• Rachel M Carr, DNP
• Lauren Ashley Carra, PA-C
• Nicholas Carra, PA-C
• Sydney Ellen Carra
• Gianna Marie Carrasquillo Amaral

• Clinical Social Worker in Springfield, MA
• Providers in Springfield, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.