Active NPI
Chrisann Muller Carrier-Reid, LCSW
- Clinical Social Worker
- Leesburg, FL
National Provider Identifier
1720009087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW8145
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U9016Z | Other | MEDICARE 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
| License | State | Type | Specialty |
|---|---|---|---|
| SW8145 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Psychological Consultants Inc | Past | 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.
-
- Clinical Psychologist
- Leesburg, FL
- NPI 1053339986
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.