Active NPI
Carrie Ann Nelson, LCSW
- Clinical Social Worker
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34357
- 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, 2026
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| TPSW3878 | FL | MD | Clinical Social Worker |
| 34357 | MD | MD | Clinical Social Worker |
| TLS995CP | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Carrie's Compassion Corner PLLC | Social Worker | Current | Accepting new patients |
| Mental Health Providers of Western Queens | Past | 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.
-
- Social Worker
- New York, NY
- NPI 1285464511
-
- Community/Behavioral Health Agency
- Jackson Heights, NY
- NPI 1184550287
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; 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.