Deborah Sue Carnine, L.I.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

01108 Issued in IA

Practice address

416 Douglas Ave
Suite 201
Ames, IA 50010-6214

Phone

(515) 232-7157

Fax

(515) 232-7116

NPI assigned

Dec 14, 2005

Last updated

Oct 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Illuminations, Inc.

  • Adult Mental Health Clinic/Center
  • Ames, IA
  • NPI 1871847202
  Authorized official Same address or phone

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1780669556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 DOUGLAS AVE",
            "address_2": "SUITE 201",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106214",
            "telephone_number": "515-232-7157",
            "fax_number": "515-232-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 DOUGLAS AVE",
            "address_2": "SUITE 201",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106214",
            "telephone_number": "515-232-7157",
            "fax_number": "515-232-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNINE",
        "first_name": "DEBORAH",
        "middle_name": "SUE",
        "credential": "L.I.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "01108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0198184",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard P. Carano, MD
• Steven Kyle Cardwell, PSYD,LPCC, LMHC, LPC
• Karen Elaine Carlson, M.D.
• David Adam Carlyle, M.D.
• Sara Ione Carmean, DDS
• Alexandria Mikel Carroll, MD
• Joy Natalie Carroll, M.D.
• Courtney Elizabeth Carvajal
• Jason Allen Cascio, MD, PHD
• Emily Case

• Clinical Social Worker in Ames, IA
• Providers in Ames, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.