Individual provider Active NPI

Carrie Ann Nelson, LCSW

  • Clinical Social Worker
  • Leesburg, VA
National Provider Identifier
1720632953
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34357 Issued in MD
Practice address
1019B Edwards Ferry Rd NE # 1153
Leesburg, VA 20176-3347
Phone
(703) 337-3956
NPI assigned
Jul 25, 2019
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 097235 NY
Clinical Social Worker 1041C0700X TPSW3878 FL
Clinical Social Worker 1041C0700X 0904016692 VA
Clinical Social Worker 1041C0700X 34357 MD Primary
Clinical Social Worker 1041C0700X TLS995CP SC

Addresses

Primary practice location

1019B Edwards Ferry Rd NE # 1153
Leesburg, VA 20176-3347

Mailing address

1019B Edwards Ferry Rd NE # 1153
Leesburg, VA 20176-3347

Other practice location 1

1178 Broadway Fl 3
New York, NY 10001-5666
Phone (703) 337-3956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240327001129 NY Practitioner - Clinical Social Worker 7618314550 Reassigns benefits to 2 organizations
I20241212001561 DC Practitioner - Clinical Social Worker 7618314550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Stony Brook, School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Jamaica, NY 11435
Phone (703) 337-3956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPSW3878FLMDClinical Social Worker
34357MDMDClinical Social Worker
TLS995CPSCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Nov 6, 2024 Accepting new patients
Carrie's Compassion Corner PLLC Social Worker Current Accepting new patients
Mental Health Providers of Western Queens PastSince Jul 28, 2019 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1178 Broadway
Fl 3
New York, NY 10001
Phone (201) 497-4377

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

1019B Edwards Ferry Rd NE
Leesburg, VA 20176
Phone (571) 866-3513

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1720632953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019B EDWARDS FERRY RD NE # 1153",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019B EDWARDS FERRY RD NE # 1153",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763347",
            "telephone_number": "703-337-3956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1178 Broadway Fl 3",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100015666",
            "country_code": "US",
            "telephone_number": "703-337-3956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097235",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TPSW3878",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016692",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "34357",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "TLS995CP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.