Jennifer Carr, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW21788 Issued in FL

Practice address

3404 N Lecanto Hwy Ste D
Beverly Hills, FL 34465-3569

Phone

(352) 419-4856

NPI assigned

Jul 7, 2022

Last updated

Apr 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Impact Counseling and Consulting LLC

  • Community/Behavioral Health Agency
  • Beverly Hills, FL
  • NPI 1417443094
  NPD
• Impact Counseling and Consulting LLC

  • Community/Behavioral Health Agency
  • Inverness, FL
  • NPI 1487320883
  NPD
• Impact Counseling and Consulting LLC

  • Community/Behavioral Health Agency
  • New Port Richey, FL
  • NPI 1548042997
  NPD (past)

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1881327807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "ISLAND HEIGHTS",
            "state": "NJ",
            "postal_code": "087321239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 N LECANTO HWY STE D",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653569",
            "telephone_number": "352-419-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "JENNIFER",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "44SL05964600",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candy Gale Brown, L.M., CLS
• Bambi Burnette
• Dawn Calder
• Gelson Camargo, DDS
• Carehere LLC
• Yunisleidys Castellanos Gonzalez
• Darlene Caulder, APRN
• Chukiat Chailitilerd, RPH
• Walter I Choung, MD
• Citrus County Counseling

• Clinical Social Worker in Beverly Hills, FL
• Providers in Beverly Hills, 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 Apr 8, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.