Active NPI
Susan M. Carroll, LCSW
- Clinical Social Worker
- Oak Ridge, TN
National Provider Identifier
1851451991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4910
- Practice address
- 240 W Tyrone Rd
Oak Ridge, TN 37830-6517 - Phone
- (865) 482-1076
- Fax
- (865) 481-6179
- NPI assigned
- Dec 11, 2006
- Last updated
- Mar 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4910 | TN | Primary |
Addresses
Primary practice location
240 W Tyrone Rd
Oak Ridge, TN 37830-6517
Mailing address
240 W Tyrone Rd
Oak Ridge, TN 37830-6517
Phone (865) 482-1076
Other names 1
- Susan Spellman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4910 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1851451991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 W TYRONE RD",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306517",
"telephone_number": "865-482-1076",
"fax_number": "865-481-6179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 W TYRONE RD",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306517",
"telephone_number": "865-482-1076",
"fax_number": "865-481-6179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "SUSAN",
"middle_name": "M.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "4910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "SPELLMAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.