Active NPI
Nancy Carrara, LMSW
- Social Worker
- Plymouth, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801094374
- Practice address
- 42115 Old Pond Cir
Plymouth, MI 48170-2586 - Phone
- (313) 701-7777
- NPI assigned
- Dec 31, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801094374 | MI | |
| Social Worker | 104100000X | 6801094374 | MI | 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
Other practice location 1
14100 Newburgh Rd
Livonia, MI 48154-5010
Phone (888) 464-2341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
42115 Old Pond Cir
Plymouth, MI 48170-2586
Phone (313) 701-7777
6548 Town Ctr Dr
Suite D
Clarkston, MI 48346-4823
Phone (800) 693-1916
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801094374 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Kneip, PH.D., P.C. | Current | Accepting new patients | |
| Carrara Counseling Services LLC | Clinical | Current | Accepting new patients |
Locations
6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 212-8739
17199 N Laurel Park Dr
Ste 260
Livonia, MI 48152
89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Plymouth, MI
- NPI 1639854839
-
- Community/Behavioral Health Agency
- Clarkston, MI
- NPI 1679739700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1679045710",
"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": [
{
"address_1": "14100 Newburgh Rd",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481545010",
"country_code": "US",
"telephone_number": "888-464-2341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARRARA",
"first_name": "NANCY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-31",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801094374",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801094374",
"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; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.