Mary E Carlton, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

149.020439 Issued in IL

Practice address

688 N Milwaukee Ave Ste 302
Chicago, IL 60642-5912

Phone

(312) 771-6648

NPI assigned

Jul 15, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Mary Carlton LCSW, PLLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1871201400

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1531612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531612800000",
    "number": "1770069577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4438 N MONITOR AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303333",
            "telephone_number": "312-771-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 N MILWAUKEE AVE STE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425912",
            "telephone_number": "312-771-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLTON",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-15",
        "last_updated": "2018-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149.020439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlton a. West, MD SC
• Carlton at the Lake Inc (Carlton at the Lake)
• Carlton Skilled Nursing Facility LLC
• Charles Lawrence Carlton, M.D.
• Jacquelyn Ariadne Carlton, PSY.D.
• Ophelia K. Carlton, DDS
• Robert Carlton
• Tina Carlton, L.AC.
• Melissa Carlucci, APN
• Gabrielle A Carlwell, LSW

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2018; 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.