Jessica Mary Carollo, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

23650 Woodward Ave
Pleasant Ridge, MI 48069-1128

Phone

(248) 752-2581

NPI assigned

Aug 9, 2012

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

Other identifiers 1

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 and National Provider Directory roles.

• Metta & Moxie Therapeutics, LLC

  • Clinical Social Worker
  • Pleasant Ridge, MI
  • NPI 1720750664

  Clinical

  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": "1757548800000",
    "number": "1760739643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 W OAKRIDGE ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202740",
            "telephone_number": "248-752-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23650 WOODWARD AVE",
            "city": "PLEASANT RIDGE",
            "state": "MI",
            "postal_code": "480691128",
            "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": "2025-09-11",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PAY",
            "identifier": "6801098990",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcarollo@mettamoxie.com",
            "affiliation": "N",
            "address_1": "23650 Woodward Ave",
            "city": "Pleasant Ridge",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480691128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angelo M Zervos DDS PC
• Atif M. George, M.D., P.C.
• Lauren Block, LMSW
• Stacy Lynn Bowman-Henry, LPC
• Alexandra Ostrowski Budnik, CRNA
• Christine Anderson, LMSW, PLLC
• Companion Care Michigan LLC
• Pamela Outland Cunningham, OTRL
• Christopher Paul D'Angelo, D.O.
• Beverly Lynn Dailey

• All providers in Pleasant Ridge, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.