Carroll Stewart Canipe, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06898 Issued in MD

Practice address

8258 Veterans Hwy
Ste 13
Millersville, MD 21108-1564

Phone

(410) 480-2010

NPI assigned

May 31, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Social Worker

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Arundel Mental Health Professionals LLC

  • Clinical Psychologist
  • Easton, MD
  • NPI 1427784271
  NPD
• Arundel Mental Health Professionals LLC

  dba LifeStance Health

  • Clinical Psychologist
  • Annapolis, MD
  • NPI 1649906496
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720289028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 SAINT JOHNS LN",
            "address_2": "SUITE F",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422605",
            "telephone_number": "410-480-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8258 VETERANS HWY",
            "address_2": "STE 13",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081564",
            "telephone_number": "410-480-2010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8258 Veterans Hwy Ste 13",
            "address_purpose": "LOCATION",
            "city": "Millersville",
            "state": "MD",
            "postal_code": "211081564",
            "country_code": "US",
            "telephone_number": "410-768-6088",
            "fax_number": "410-768-6444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANIPE",
        "first_name": "CARROLL",
        "middle_name": "STEWART",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD BLUE CROSS&BLUE SHIELD",
            "identifier": "QT-52",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellie Jean Burton, PTA
• Christina Petros Butterly, CRNP
• Sheryl B Campbell, LCPC
• Susan Worthing Campion, MPT, DPT
• Louise Victoria Saringan Cancino, LMSW
• Amanda C. Carlin, LGPC
• Tara Carloni, OT
• Ellen Breen Cassidy, MD
• Michael Patrick Cawley, LPN
• Amy Inseon Cha, DDS

• Clinical Social Worker in Millersville, MD
• Providers in Millersville, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.