Carrie Louise Roberts, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC13286 Issued in ME

Practice address

50 Forest Falls Dr Ste 3
Yarmouth, ME 04096-6937

Phone

(207) 712-8504

Fax

(207) 536-5937

NPI assigned

Nov 20, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Carrie Louise Locke Former name

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": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1679801112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 FOREST FALLS DR STE 3",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966937",
            "telephone_number": "207-712-8504",
            "fax_number": "207-536-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FOREST FALLS DR STE 3",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966937",
            "telephone_number": "207-712-8504",
            "fax_number": "207-536-5937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "854 Broadway",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041062712",
            "country_code": "US",
            "telephone_number": "207-712-8504",
            "fax_number": "207-874-1044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CARRIE",
        "middle_name": "LOUISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-20",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC13286",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC4688",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "LOCKE",
            "middle_name": "LOUISE",
            "credential": "LMSW-CC, CADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessie M. Reighley, NP
• Danika Rencken, NP
• Danielle Rideout, LCPC, LADC, CCS
• Rite Aid of Maine Inc
• Riverview Physical Therapy Limited Partnership
• Sadie Anna Robertson, LCSW
• Nancy Rochat, LCSW
• Therese Ronco, L.AC
• Rose a Bradshaw, LCSW, PA
• Christopher Ross, LCPC, LADC, CCS

• Clinical Social Worker in Yarmouth, ME
• Providers in Yarmouth, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.