Active NPI
Nancy C Carner, MSW LISW
- Clinical Social Worker
- Tipp City, OH
National Provider Identifier
1891847323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I2924
- Practice address
- 1440 W Main St
Tipp City, OH 45371 - Phone
- (937) 667-4612
- Fax
- (937) 667-6479
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
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 | I2924 | OH | Primary |
Addresses
Primary practice location
1440 W Main St
Tipp City, OH 45371
Mailing address
PO Box 28
1440 W Main St
Tipp City, OH 45371
Phone (937) 667-4612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I2924 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Treatment Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Tipp City, OH
- NPI 1295174704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891847323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28",
"address_2": "1440 W MAIN ST",
"city": "TIPP CITY",
"state": "OH",
"postal_code": "45371",
"telephone_number": "937-667-4612",
"fax_number": "937-667-6479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 W MAIN ST",
"city": "TIPP CITY",
"state": "OH",
"postal_code": "45371",
"telephone_number": "937-667-4612",
"fax_number": "937-667-6479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARNER",
"first_name": "NANCY",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "MSW LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I2924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tipp City, OH
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.