Mary Elizabeth Carroll, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P019130 Issued in NC

Practice address

700 East Blvd Ste 1
Charlotte, NC 28203-5156

Phone

(704) 980-3082

NPI assigned

Jul 18, 2023

Last updated

Jul 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Caladrius Therapy, PLLC

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1922657873
  NPD

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1699455436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 EAST BLVD STE 1",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035156",
            "telephone_number": "704-980-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 EAST BLVD STE 1",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035156",
            "telephone_number": "704-980-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edythe Carroll, PHARMD
• Eleanor Carroll, PHD
• Irene G Carroll, LPC
• Janae Alexis Carroll
• Kevin W Carroll, MD
• Scott William Carroll, PA
• Stephanie Leigh Carroll, CRNA
• Katherine Carron, PHARMD
• Marc Ronald Carruth, M.D.
• Christie Carson, PT

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.