Active NPI
Carilyn A Rego, MSW, LCSW-C
- Clinical Social Worker
- Columbia, MD
National Provider Identifier
1740500545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16414
- Practice address
- 6266 Plaited Reed
Columbia, MD 21044-3713 - Phone
- (443) 878-3810
- NPI assigned
- Jun 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | FL | ||
| Clinical Social Worker | 1041C0700X | SW20017 | FL | |
| Clinical Social Worker | 1041C0700X | 16414 | MD | Primary |
Addresses
Primary practice location
6266 Plaited Reed
Columbia, MD 21044-3713
Mailing address
6266 Plaited Reed
Columbia, MD 21044-3713
Phone (443) 878-3810
Other practice location 1
7 Prospect St.
Nashua, NH 03060
Phone (603) 889-6147
Other names 1
- Carilyn A Colton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230504002274 | FL | Practitioner - Clinical Social Worker | 3072765437 | Reassigns benefits to 1 organization |
| I20230830004079 | DC | Practitioner - Clinical Social Worker | 3072765437 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16414 | MD | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1740500545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6266 PLAITED REED",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443713",
"telephone_number": "443-878-3810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6266 PLAITED REED",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443713",
"telephone_number": "443-878-3810"
}
],
"practiceLocations": [
{
"address_1": "7 Prospect St.",
"address_purpose": "LOCATION",
"city": "Nashua",
"state": "NH",
"postal_code": "03060",
"country_code": "US",
"telephone_number": "603-889-6147",
"fax_number": "603-883-1568",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REGO",
"first_name": "CARILYN",
"middle_name": "A",
"credential": "MSW, LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-03",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW20017",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "16414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARILYN",
"last_name": "COLTON",
"middle_name": "A",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.