Active NPI
Carolyn Gorman Kerr, LCSW
- Mental Health Counselor
- Richmond, VA
National Provider Identifier
1780717298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0904004648
- Practice address
- 1512 Willow Lawn Dr
Richmond, VA 23230-3117 - Phone
- (804) 285-5900
- Fax
- (804) 285-9130
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0904004648 | VA | Primary |
| Clinical Social Worker | 1041C0700X | 0904004648 | VA |
Addresses
Primary practice location
1512 Willow Lawn Dr
Richmond, VA 23230-3117
Mailing address
1512 Willow Lawn Dr
Richmond, VA 23230-3117
Phone (804) 285-5900
Other names 1
- Carrie Gorman Kerr
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Catholic Charities | Mental Health | Past | Accepting new patients |
| Stepping Stone Counseling, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Richmond, VA
- NPI 1912938200
-
- Clinical Social Worker
- Mechanicsville, VA
- NPI 1427090778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298505600000",
"number": "1780717298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 WILLOW LAWN DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303117",
"telephone_number": "804-285-5900",
"fax_number": "804-285-9130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 WILLOW LAWN DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303117",
"telephone_number": "804-285-5900",
"fax_number": "804-285-9130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "CAROLYN",
"middle_name": "GORMAN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2011-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0904004648",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904004648",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARRIE",
"last_name": "KERR",
"middle_name": "GORMAN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.