Individual provider Active NPI

Carolyn Carter Showell, LCSW

  • Clinical Social Worker
  • Millsboro, DE
National Provider Identifier
1912339938
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001183 Issued in DE
Practice address
23321 Country Living Rd
Millsboro, DE 19966-2850
Phone
(302) 344-7519
NPI assigned
Aug 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0001183 DE Primary

Addresses

Primary practice location

23321 Country Living Rd
Millsboro, DE 19966-2850

Mailing address

23321 Country Living Rd
Millsboro, DE 19966-2850
Phone (302) 344-7519

Other practice location 1

20165 Office Cir
Georgetown, DE 19947-3197
Phone (302) 854-0677 ext. 111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20160222000064 DE Practitioner - Clinical Social Worker 0345545810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20287 Hardscrabble Rd
Georgetown, DE 19947-6123
Phone (302) 754-3273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0001183DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Your Heart and Mind, LLC CurrentSince Dec 12, 2017 Accepting new patients

Locations

110 S Pearl St
Unit 101
Seaford, DE 19973

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.

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912339938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23321 COUNTRY LIVING RD",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199662850",
            "telephone_number": "302-344-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23321 COUNTRY LIVING RD",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199662850",
            "telephone_number": "302-344-7519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20165 Office Cir",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "DE",
            "postal_code": "199473197",
            "country_code": "US",
            "telephone_number": "302-854-0677 x111",
            "fax_number": "302-854-0688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOWELL",
        "first_name": "CAROLYN",
        "middle_name": "CARTER",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

Verify at the official NPI Registry.