Individual provider Active NPI

Carol Irene Starr, LCSW ACSW

  • Clinical Social Worker
  • Lafayette, IN
National Provider Identifier
1932308541
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34000175A Issued in IN
Practice address
413 Teal Road
Lafayette, IN 47905-2311
Phone
(765) 471-8813
Fax
(765) 471-8813
NPI assigned
Jul 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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 34000175A IN Primary

Addresses

Primary practice location

413 Teal Road
Lafayette, IN 47905-2311

Mailing address

413 Teal Road
Lafayette, IN 47905-2311
Phone (765) 471-8813

Other names 1

  • Carol I Starr Other name

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

LicenseStateTypeSpecialty
34000175AINMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1932308541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 TEAL ROAD",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479052311",
            "telephone_number": "765-471-8813",
            "fax_number": "765-471-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 TEAL ROAD",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479052311",
            "telephone_number": "765-471-8813",
            "fax_number": "765-471-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARR",
        "first_name": "CAROL",
        "middle_name": "IRENE",
        "credential": "LCSW ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000175A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "STARR",
            "middle_name": "I",
            "credential": "LCSW ASCW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

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

Verify at the official NPI Registry.