Active NPI
Halley M Carmack, LCSW
- Clinical Social Worker
- Delray Beach, FL
National Provider Identifier
1932472685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW16627
- Practice address
- 550 SE 6TH Ave Ste 200E
Delray Beach, FL 33483-5306 - Phone
- (561) 501-0188
- NPI assigned
- Feb 10, 2012
- Last updated
- Apr 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C008379 | NC | |
| Clinical Social Worker | 1041C0700X | SW16627 | FL | Primary |
Addresses
Primary practice location
550 SE 6TH Ave Ste 200E
Delray Beach, FL 33483-5306
Mailing address
1 Tropical Dr Apt 5
Ocean Ridge, FL 33435-7030
Phone (209) 573-0235
Other practice location 1
1951 NW 7th Ave Ste 300
Miami, FL 33136-1112
Phone (305) 902-6347
Other practice location 2
1200 NW 17th Ave Ste 12
Delray Beach, FL 33445-2512
Phone (561) 270-2280
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C008379 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Child and Family Health | Clinical | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586044800000",
"number": "1932472685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 TROPICAL DR APT 5",
"city": "OCEAN RIDGE",
"state": "FL",
"postal_code": "334357030",
"telephone_number": "209-573-0235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 SE 6TH AVE STE 200E",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334835306",
"telephone_number": "561-501-0188"
}
],
"practiceLocations": [
{
"address_1": "1951 NW 7th Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361112",
"country_code": "US",
"telephone_number": "305-902-6347",
"fax_number": "727-306-8033",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 NW 17th Ave Ste 12",
"address_purpose": "LOCATION",
"city": "Delray Beach",
"state": "FL",
"postal_code": "334452512",
"country_code": "US",
"telephone_number": "561-270-2280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARMACK",
"first_name": "HALLEY",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-10",
"last_updated": "2020-04-05",
"certification_date": "2020-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C008379",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW16627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.