Active NPI
Terrence Lenorris Carn Sr., LCSW, MCAP
- Clinical Social Worker
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW15330
- Practice address
- 1375 Gateway Blvd Ste 29
Boynton Beach, FL 33426-8304 - Phone
- (561) 379-1440
- Fax
- (561) 471-3288
- NPI assigned
- Sep 23, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MCAP100694 | FL | |
| Clinical Social Worker | 1041C0700X | SW15330 | FL | Primary |
Addresses
Primary practice location
1375 Gateway Blvd Ste 29
Boynton Beach, FL 33426-8304
Mailing address
6586 Hypoluxo Rd # 230
Lake Worth, FL 33467-7678
Phone (561) 248-8900
Other practice location 1
1645 Palm Beach Lakes Blvd Ste 1200
West Palm Beach, FL 33401-2214
Phone (561) 379-1440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191115001909 | FL | Practitioner - Clinical Social Worker | 3476985227 |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6586 Hypoluxo Rd
Suite 230
Lake Worth, FL 33467-7678
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MCAP100694 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| SW15330 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carn 360 Services LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
1375 Gateway Blvd
Ste 29
Boynton Beach, FL 33426
Phone (561) 248-8900
6586 Hypoluxo Rd
Lake Worth, FL 33467
Phone (561) 248-8900
1645 Palm Beach Lakes Blvd
Ste 1200
West Palm Beach, FL 33401
Phone (561) 257-1877
Organizations & group practices 1
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
- Boynton Beach, FL
- NPI 1679125462
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1699326546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6586 HYPOLUXO RD # 230",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334677678",
"telephone_number": "561-248-8900",
"fax_number": "561-471-3288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 GATEWAY BLVD STE 29",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268304",
"telephone_number": "561-379-1440",
"fax_number": "561-471-3288"
}
],
"practiceLocations": [
{
"address_1": "1645 Palm Beach Lakes Blvd Ste 1200",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334012214",
"country_code": "US",
"telephone_number": "561-379-1440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARN",
"first_name": "TERRENCE",
"middle_name": "LENORRIS",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "LCSW, MCAP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-23",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "MCAP100694",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW15330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.