Jessica Mary Carollo, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801098990 Issued in MI

Practice address

23400 W 13 Mile Rd
Bingham Farms, MI 48025-4337

Phone

(248) 752-2581

NPI assigned

Aug 9, 2012

Last updated

Oct 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Metta & Moxie Therapeutics, LLC

  • Clinical Social Worker
  • Pleasant Ridge, MI
  • NPI 1720750664
  NPD Authorized official

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1760739643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23400 W 13 MILE RD",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254337",
            "telephone_number": "248-203-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23400 W 13 MILE RD",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254337",
            "telephone_number": "248-752-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROLLO",
        "first_name": "JESSICA",
        "middle_name": "MARY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcarollo@bps-schools.com",
            "affiliation": "N",
            "address_1": "23400 W 13 Mile Rd",
            "city": "Bingham Farms",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480254337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dana S Carlson
• Lexi Carlson
• Olivia Carmack
• Erin Elizabeth Carney
• Carol W Beggs LMSW LLC
• Jewel Carpenter
• Isabella Carrafelli
• Ashlee Renee-June Carroll
• Danielle Carroll
• Alissa Carruth

• Clinical Social Worker in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; 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.