Carolyn Lantzy Nelson, LCSW-C, CAC-AD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12584 Issued in MD

Practice address

222 Timber TRL Apt D
Bel Air, MD 21014-3147

Phone

(410) 610-7469

NPI assigned

Oct 5, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Talkspace Provider Network PA 249 clinicians

Harford County Health Department 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Harford County Health Department

  • Public Health or Welfare Agency
  • Edgewood, MD
  • NPI 1942579073

  MD

  Medicare reassignment Care Compare group NPD
• Talkspace Provider Network PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1639814049

  MD

  Medicare reassignment Care Compare group NPD
• Harford County Health Department

  • Public Health or Welfare Agency
  • Bel Air, MD
  • NPI 1396014429
  NPD
• Ann Cassetta, MPT, GTS, LLC

  • Physical Therapy Clinic/Center
  • Lexington Park, MD
  • NPI 1972180479
  NPD (past)
• Harford County Health Department

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bel Air, MD
  • NPI 1932504610
  NPD (past)
• Trico Clinical Services, LTD

  • Mental Health Counselor
  • Lexington Park, MD
  • NPI 1548440555
  NPD (past)
• Trico Corporation

  • Mental Health Counselor
  • Lexington Park, MD
  • NPI 1275514671
  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1770570574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 TIMBER TRL APT D",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143147",
            "telephone_number": "410-610-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 TIMBER TRL APT D",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143147",
            "telephone_number": "410-610-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CAROLYN",
        "middle_name": "LANTZY",
        "credential": "LCSW-C, CAC-AD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "AC1178",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neelakanth R Harapanahalli LLC
• Neelupalli Bojji Reddy, MD PA
• Sharon Ellen Neibel-Pondek, M.D.
• Sarah Elizabeth Neilsen, OTA/L
• Adrienne M Nelson, D.P.T
• Kelli Nichole Nelson, OTR/L
• Leah Nicole Nelson, NCSP
• Mark Leslie Nelson, PH.D.
• Suzette Antoinette Nelson
• Thomas Nemer II, NP-C

• All providers in Bel Air, MD
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.