Carrie Marie Soicial Service Agency

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

CARRIE MARIE SOICIAL SERVICE AGENCY

Practice address

839 Broadway
Suite N107
Gary, IN 46402-2414

Phone

(312) 468-5336

NPI assigned

Sep 7, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Darcelmarie Smith, M.A

Title

Ceo

Phone

(312) 468-5336

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1851848972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 BROADWAY",
            "address_2": "SUITE N107",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464022414",
            "telephone_number": "312-468-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 BROADWAY",
            "address_2": "SUITE N107",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464022414",
            "telephone_number": "312-468-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIE MARIE SOICIAL SERVICE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DARCELMARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-468-5336",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Ester Marie Campbell, RN
• Monique N Campbell, LPC
• Cardiovascular Clinics PC
• Earnestine M Carey
• Caring Route Transit
• Chris Carroll
• Alicia Carter
• Danielle Elizabeth Carter, LPN
• Marilyn M. Caruthers
• Mathew V Castelino, MD

• Addiction (Substance Use Disorder) Counselor in Gary, IN
• Providers in Gary, IN by specialty
• Addiction (Substance Use Disorder) Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.