Idolyn Carnahan, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0135222 Issued in VT

Practice address

1097 Main St
Saint Johnsbury, VT 05819-2646

Phone

(603) 718-0937

NPI assigned

Aug 26, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Idolyn V. Carnahan, Licsw, PLLC

  • Clinical Social Worker
  • St Johnsbury, VT
  • NPI 1700607397

  Clinical

  NPD Authorized official
• The Mental Health Center of Greater Manchester

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, NH
  • NPI 1609848811
  NPD (past)

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1811544653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058190111",
            "telephone_number": "603-718-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 MAIN ST",
            "city": "SAINT JOHNSBURY",
            "state": "VT",
            "postal_code": "058192646",
            "telephone_number": "603-718-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNAHAN",
        "first_name": "IDOLYN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0135222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly A. Burns, NP
• Cairn Counseling Center PLC
• Caledonia-Essex Area Ambulance Service, Inc.
• Laura Oakes Cannon, SLP
• Tarah Friend Cantore, PT, CWS
• Amber L Carrasquillo, PHARMD
• Dennis Richard Casey, MA, LCMHC
• Cy Anne Cedar, MD
• Casey Amber Chabot, DPT
• Jin Li Chan, LICSW

• Clinical Social Worker in Saint Johnsbury, VT
• Providers in Saint Johnsbury, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.