Katrina Carroll, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SWB-2024-0303 Issued in NM

Practice address

411 W 5TH Ave
Truth Or Consequences, NM 87901-2204

Phone

(575) 740-7645

NPI assigned

Sep 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Blooming Together LLC

  • Social Worker
  • Truth Or Consequences, NM
  • NPI 1205670403
  NPD Authorized official
• New Horizons Counseling Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Truth Or Consequences, NM
  • NPI 1841850526
  NPD (past)

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1730803560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W 5TH AVE",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879012204",
            "telephone_number": "575-740-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W 5TH AVE",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879012204",
            "telephone_number": "575-740-7645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Marshall St",
            "address_purpose": "LOCATION",
            "city": "Truth OR Consequences",
            "state": "NM",
            "postal_code": "879016600",
            "country_code": "US",
            "telephone_number": "575-740-5096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "KATRINA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "SWB-2024-0303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Aurthur Burnett Jr., MS
• Busy Bees Psychological Services
• Maxine Cheryl Cain, CCSS
• Geraldine Candelaria
• Deborah Jeanne Cardenas, MS, CSW
• Daniella Chavez
• Peace Chioma Chukwuma, APRN
• Susan Elizabeth Claxton
• Lara Amber Clement, RN
• Nathaniel Cobb, MD

• Social Worker in Truth Or Consequences, NM
• Providers in Truth Or Consequences, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.