Individual provider Active NPI

Annie Larae Carroll, LCSW

  • Clinical Social Worker
  • McConnell AFB, KS
National Provider Identifier
1821390303
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7357-C Issued in NV
Practice address
57950 Leavenworth St
McConnell AFB, KS 67221-3505
Phone
(316) 759-2000
NPI assigned
Dec 3, 2010
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5968-S NV
Clinical Social Worker 1041C0700X 7357-C NV Primary
Clinical Social Worker 1041C0700X 06501 KS

Addresses

Primary practice location

57950 Leavenworth St
McConnell AFB, KS 67221-3505

Mailing address

57950 Leaveworth St
McConnell AFB, KS 67221-3900
Phone (316) 759-6100

Other names 1

  • Ms. Annie Larae Terry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06501KSMDClinical Social Worker
5968-SNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unsom Multi-Spec GRP Pract S Past Accepting new patients
Southwest Medical Associates, Inc 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1821390303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57950 LEAVEWORTH ST",
            "city": "MCCONNELL AFB",
            "state": "KS",
            "postal_code": "672213900",
            "telephone_number": "316-759-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57950 LEAVENWORTH ST",
            "city": "MCCONNELL AFB",
            "state": "KS",
            "postal_code": "672213505",
            "telephone_number": "316-759-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "ANNIE",
        "middle_name": "LARAE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-03",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5968-S",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7357-C",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "06501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "TERRY",
            "middle_name": "LARAE",
            "prefix": "MS.",
            "credential": "LSW, MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McConnell AFB, KS

Sources for this page

Verify at the official NPI Registry.