Individual provider Active NPI

Terrence Lenorris Carn Sr., LCSW, MCAP

  • Clinical Social Worker
  • Boynton Beach, FL
National Provider Identifier
1699326546
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15330 Issued in FL
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

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
MCAP100694FLMDAddiction (Substance Use Disorder) Counselor
SW15330FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carn 360 Services LLC Addiction (Substance Use Disorder) CurrentSince Oct 11, 2019 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.

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

Verify at the official NPI Registry.