John-Paul Carroll LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JOHN-PAUL CARROLL LCSW PLLC

Practice address

205 Sioux St
Ronkonkoma, NY 11779-3529

Phone

(631) 972-7016

NPI assigned

Sep 20, 2022

Organization subpart

No

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

Authorized official

Name

John Paul Carroll, LCSW-RNPI 1467833954

Title

Owner

Phone

(631) 972-7016

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

John-Paul Carroll LCSW PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• John-Paul Carroll LCSW PLLC

  • Clinical Social Worker
  • Ronkonkoma, NY
  • NPI 1316661317
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John-Paul Carroll, LCSW-R

  • Clinical Social Worker
  • Sayville, NY
  • NPI 1467833954
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1730802372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SIOUX ST",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117793529",
            "telephone_number": "631-972-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SIOUX ST",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117793529",
            "telephone_number": "631-972-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN-PAUL CARROLL LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "JOHN PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-972-7016",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M. Shinol, Acupuncture, PC (Think Acupuncture)
• Jeffrey Muroff DPM PC
• Kelli Anne Jennings
• Joanna Fasulo DC PC (Fasulo Chiropractic)
• John-Paul Carroll LCSW PLLC
• David Hugo Johnson, NPC
• Erin Jordan
• Anu Joy, PT
• Jerome Kalish, RN
• Wei K Kao, M.D.

• Clinical Social Worker in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.