Stephanie Caruso, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I. 1500779-SUPV Issued in OH

Practice address

6960 Market St Ste 2
Boardman, OH 44512-4508

Phone

(330) 501-7821

Fax

(330) 953-3302

NPI assigned

Nov 27, 2016

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

Enrolled in OH

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, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Healing House LLC

  • Clinical Social Worker
  • Mineral Ridge, OH
  • NPI 1700492766
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1480204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1841733797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6960 MARKET ST STE 2",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124508",
            "telephone_number": "330-501-7821",
            "fax_number": "330-953-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 MARKET ST STE 2",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124508",
            "telephone_number": "330-501-7821",
            "fax_number": "330-953-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-27",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I. 1500779-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carradine Chiropractic Center, Inc.
• Denise M. Carradine, D.C.
• Elizabeth Grace Carrier, CNP
• Erika Carroll, FNP-BC
• Lashonda Nicole Carter
• Judith Ann Castronova, CRNA
• Franchessca Lucia Catalano, PA-C
• Center for Behavioral Health Inc
• Center for Behavioral Health, Inc
• Center for Behavioral Health, Inc.

• Clinical Social Worker in Boardman, OH
• Providers in Boardman, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.