Individual provider Active NPI

Chrisann Muller Carrier-Reid, LCSW

  • Clinical Social Worker
  • Leesburg, FL
National Provider Identifier
1720009087
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8145 Issued in FL
Practice address
1514 W Main St
Leesburg, FL 34748-4857
Phone
(352) 365-6506
Fax
(352) 365-6596
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW8145 FL Primary

Addresses

Primary practice location

1514 W Main St
Leesburg, FL 34748-4857

Mailing address

1510 Park Dr
Leesburg, FL 34748-6738
Phone (352) 365-6506

Other identifiers 1

IdentifierTypeStateIssuer
U9016ZOtherMEDICARE PROVIDER NO.

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW8145FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Psychological Consultants Inc PastSince Jul 16, 2015 Accepting new patients

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1720009087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 PARK DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486738",
            "telephone_number": "352-365-6506",
            "fax_number": "352-787-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 W MAIN ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484857",
            "telephone_number": "352-365-6506",
            "fax_number": "352-365-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIER-REID",
        "first_name": "CHRISANN",
        "middle_name": "MULLER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NO.",
            "identifier": "U9016Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.