Active NPI
Carolyn Ella McIntyre, LCSW-R
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1861567547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 036137-R
- Practice address
- 26 Court St
Suite 410 B
Brooklyn, NY 11242-0103 - Phone
- (917) 757-6542
- Fax
- (718) 797-3193
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 036137-R | NY | Primary |
Addresses
Primary practice location
26 Court St
Suite 410 B
Brooklyn, NY 11242-0103
Mailing address
62 Montague St
#3A
Brooklyn, NY 11201-3375
Phone (917) 757-6542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 16, 2025 through Jul 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036137-R | NY | MD | Clinical Social Worker |
| 036137 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861567547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 MONTAGUE ST",
"address_2": "#3A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112013375",
"telephone_number": "917-757-6542",
"fax_number": "718-797-3193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 COURT ST",
"address_2": "SUITE 410 B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112420103",
"telephone_number": "917-757-6542",
"fax_number": "718-797-3193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "CAROLYN",
"middle_name": "ELLA",
"name_prefix": "Ms.",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "036137-R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.