Individual provider Active NPI

Rachel Frantz Carroll, LCSW

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1912482696
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C011705 Issued in NC
Practice address
3116 N Duke St
Durham, NC 27704-2102
Phone
(919) 684-9992
Fax
(919) 684-9996
NPI assigned
Sep 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 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 C011705 NC Primary

Addresses

Primary practice location

3116 N Duke St
Durham, NC 27704-2102

Mailing address

2510 Englewood Ave
Durham, NC 27705-4083
Phone (919) 614-9791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190403003122 NC Practitioner - Clinical Social Worker 2264773050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1311 Tallyho TRL
Chapel Hill, NC 27516-9613
Phone (919) 614-9791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C011705NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rachel Carroll, LCSW, PLLC Clinical CurrentSince Aug 25, 2021 Accepting new patients
Reflect Professional Counseling and Psychological Services Current Accepting new patients

Organizations & group practices 2

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": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1912482696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 ENGLEWOOD AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054083",
            "telephone_number": "919-614-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 N DUKE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042102",
            "telephone_number": "919-684-9992",
            "fax_number": "919-684-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "RACHEL",
        "middle_name": "FRANTZ",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.