Organization Active NPI

Carrick Counseling and Consulting, LLC

  • Clinical Social Worker
  • Decatur, GA
National Provider Identifier
1861022063
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CARRICK COUNSELING AND CONSULTING, LLC
Practice address
235 E Ponce de Leon Ave Ste 120
Decatur, GA 30030-3412
Phone
(404) 242-3395
NPI assigned
Jan 16, 2020
Last updated
Mar 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Christina Carrick, LCSWNPI 1720258080
Title
Owner
Phone
(404) 242-3395

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

235 E Ponce de Leon Ave Ste 120
Decatur, GA 30030-3412

Mailing address

1604 Briarcliff Rd NE Unit 6
Atlanta, GA 30306
Phone (404) 242-3395

National Provider Directory

National Provider Directory

Locations

108 E Ponce de Leon Ave
Ste 204
Decatur, GA 30030
Phone (404) 382-8788

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1861022063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 BRIARCLIFF RD NE UNIT 6",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30306",
            "telephone_number": "404-242-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E PONCE DE LEON AVE STE 120",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303412",
            "telephone_number": "404-242-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRICK COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "CARRICK",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-242-3395",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.