Carolyn Freeman Wilson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW5879 Issued in FL

Practice address

501 NW 78TH Way
Plantation, FL 33324-1437

Phone

(954) 793-3201

Fax

(954) 473-1621

NPI assigned

Oct 13, 2007

Sex

Female

Sole proprietor

Yes

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 FL

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advance Health and Community Services CorporationGroup PAC ID 0244536969, 2 clinicians

Theracounsel, Inc.Group PAC ID 0143206466, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Advance Health and Community Services Corporation

  • Community/Behavioral Health Agency
  • Pembroke Pines, FL
  • NPI 1255758876
  Medicare reassignment Care Compare group NPD
• Theracounsel, Inc.

  • Clinical Social Worker
  • Ft Lauderdale, FL
  • NPI 1457460339
  Medicare reassignment Care Compare group NPD
• Family Behavioral Services LLC

  • Community/Behavioral Health Agency
  • Homestead, FL
  • NPI 1487003703
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  Medicare reassignment NPD
• Advance Health and Community Services Corporation

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1104278597
  NPD (past)

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

{
    "created_epoch": "1192233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336867200000",
    "number": "1861680936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NW 78TH WAY",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241437",
            "telephone_number": "954-793-3201",
            "fax_number": "954-473-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NW 78TH WAY",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241437",
            "telephone_number": "954-793-3201",
            "fax_number": "954-473-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CAROLYN",
        "middle_name": "FREEMAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-13",
        "last_updated": "2012-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zita Williams, PHD
• Alana Beth Willis, PA-C
• Willow Pediatric Special Care Inc
• Wilson Dumornay M D P a
• Yaneque Wilson-Kennedy, APRN
• Drina Wilson
• Hobson Irving Wilson, REGISTERED MHC INTER
• Jenna Wilson, PHD, LMFT
• Marsha Patrice Wilson
• Mildred Thomas Wilson, R.PH.

• Clinical Social Worker in Plantation, FL
• Providers in Plantation, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2012; 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.