Individual provider Active NPI

Erin Elizabeth Carroll, LISW-S

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1750619904
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1101257 Issued in OH
Practice address
830 N Summit St
Suite 2
Toledo, OH 43604-1884
Phone
(419) 693-9600
Fax
(419) 693-9650
NPI assigned
Nov 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1101257 OH Primary

Addresses

Primary practice location

830 N Summit St
Suite 2
Toledo, OH 43604-1884

Mailing address

14900 County Road H
#57
Wauseon, OH 43567-8824
Phone (419) 822-1670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20230620000605 OH Practitioner - Clinical Social Worker 9133587462 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1101257OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Allies CurrentSince May 13, 2023 Accepting new patients
RFS Charitable Foundation Past Accepting new patients

Locations

2300 Montana Ave
Ste 243
Cincinnati, OH 45211
Phone (513) 823-3448

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/rfstackle/r4/
  • FHIR API: https://api.qualifacts.org/api/fhir/neighborhoodallies513/r4/

Organizations & group practices 2

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": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1750619904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14900 COUNTY ROAD H",
            "address_2": "#57",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435678824",
            "telephone_number": "419-822-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 N SUMMIT ST",
            "address_2": "SUITE 2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041884",
            "telephone_number": "419-693-9600",
            "fax_number": "419-693-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-30",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1101257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.