NPIMap

Individual provider Active NPI

Carolyn Neiswender, SOCIAL WORKER

  • Clinical Social Worker
  • Birmingham, AL
National Provider Identifier
1699919738
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1110-C Issued in AL
Practice address
8 Pamona Ave
Birmingham, AL 35209-2031
Phone
(205) 344-3161
NPI assigned
Apr 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 110-C AL
Clinical Social Worker 1041C0700X 1110-C AL Primary

Addresses

Primary practice location

8 Pamona Ave
Birmingham, AL 35209-2031

Mailing address

8 Pamona Ave
Birmingham, AL 35209-2031
Phone (205) 344-3161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
110-CALMDSocial Worker
1110-CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North River Family Services, Inc. Past Accepting new patients
Uplift Behavioral Health PC Clinical Past Accepting new patients

Organizations & group practices 2

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": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1699919738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PAMONA AVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092031",
            "telephone_number": "205-344-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PAMONA AVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092031",
            "telephone_number": "205-344-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEISWENDER",
        "first_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "110-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1110-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.