Carly Washor, LCSW, MCAP, ICADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW15196 Issued in FL

Practice address

3307 Northlake Blvd Ste 104
Palm Beach Gardens, FL 33403-1703

Phone

(954) 242-9817

NPI assigned

Oct 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

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 and National Provider Directory roles.

• Boca Raton Psychiatry, LLC

  • Psychiatry Physician
  • Boca Raton, FL
  • NPI 1275056616
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1730656307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 1/2 GARDEN AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334052539",
            "telephone_number": "954-242-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 NORTHLAKE BLVD STE 104",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031703",
            "telephone_number": "954-242-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHOR",
        "first_name": "CARLY",
        "credential": "LCSW, MCAP, ICADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Sammis Wanvilai
• Warby Parker Inc.
• Rakala S Ward
• Ariana A Wascher, CCC-SLP
• Tiffany Washington, APRN, PMHNP-BC, FNP
• Lyam Cristina Wasko, LMT
• Alex Wasserman, DC
• Karen Estelle Wasserman, LCSW
• Water'S Edge Dermatology, LLC
• Water'S Edge Dermatology, LLC

• Clinical Social Worker in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.