Kelsey Marie Carroll, MSW, CSW-PIP, QMHP

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

510 Main Ave Ste 10
Brookings, SD 57006-2010

Phone

(605) 865-4105

NPI assigned

Jul 2, 2019

Last updated

Aug 21, 2024By the provider in NPPES

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

Enrolled in SD

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carroll Psychotherapy, LLC

  • Clinical Social Worker
  • Brookings, SD
  • NPI 1790640225
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1801458575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 E ROSA PARKS PL STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571103091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 MAIN AVE STE 10",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062010",
            "telephone_number": "605-865-4105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5101 E Rosa Parks Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571103091",
            "country_code": "US",
            "telephone_number": "605-865-4105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "KELSEY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSW, CSW-PIP, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Mae Byrd, FNP-BC
• Julie A Cameron, C.N.P.
• Daniel William Carlson, DDS
• Elizabeth Carlson
• Carroll Psychotherapy, LLC
• Catholic Family Services
• Kimarie A Cauwels, DC
• Daniel Cecil, MD
• Tracy Leigh Chapman Stuart, LPC-MH
• Teresa Jean Charlson

• Social Worker in Brookings, SD
• Providers in Brookings, SD by specialty
• Social Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.