Carolie Meccico, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2766013501 Issued in UT

Practice address

5315 South Adams Ave.
Suite B7
Washington Terrace, UT 84405-4509

Phone

(801) 528-5054

Fax

(801) 479-3997

NPI assigned

Apr 19, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699730812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 SOUTH ADAMS AVE.",
            "address_2": "SUITE B7",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "844054509",
            "telephone_number": "801-528-5054",
            "fax_number": "801-479-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 SOUTH ADAMS AVE.",
            "address_2": "SUITE B7",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "844054509",
            "telephone_number": "801-528-5054",
            "fax_number": "801-479-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECCICO",
        "first_name": "CAROLIE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "2766013501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF UTAH LICENSE #",
            "identifier": "2766013501",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kane County Human Resource Special Service District
• Larry E Urry MD PC
• Jennifer Littrell, FNP-C
• Marianne Ririe Loertscher, MS/CCC-SLP
• Lonestar Medical PLLC
• Midtown Community Health Center Inc
• Marc Taylor Mitton, D.O
• Erika Munns, NP
• Gabriela Yvonne Nava, PHARMD
• Angelina Marie Nelson, APRN

• Clinical Social Worker in Washington Terrace, UT
• Providers in Washington Terrace, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.