Constance Marie Carr, LMSW, CASAC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

100966-1 Issued in NY

Practice address

144 Pine St Ste 140
Kingston, NY 12401-4946

Phone

(845) 768-2295

NPI assigned

Apr 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1831718501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BARBAROSSA LN",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011220",
            "telephone_number": "845-943-6091",
            "fax_number": "845-943-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 PINE ST STE 140",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014946",
            "telephone_number": "845-768-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "CONSTANCE",
        "middle_name": "MARIE",
        "credential": "LMSW, CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "23148",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "100966-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Carl
• Christina Carlson, DO
• Stephanie Carlson, MS ED.
• Caitlyn Caron, M.S, ED.
• Joseph John Carpino Jr., D.C.
• Kristina Carr, PA-C
• Bernadette Carranza, LCSWR
• Stephanie Jean Carro-Kowalcyk, MD
• John Carroll
• Jessica Lee Carson

• Social Worker in Kingston, NY
• Providers in Kingston, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.