Individual provider Active NPI

Kamini Desai-Carroll, PH.D., LCSW

  • Clinical Social Worker
  • Doylestown, PA
National Provider Identifier
1962975672
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019930 Issued in PA
Practice address
90 Tower Hill Rd
Doylestown, PA 18901-2736
Phone
(267) 474-7430
NPI assigned
Jan 4, 2019
Last updated
Jan 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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 CW019930 PA Primary

Addresses

Primary practice location

90 Tower Hill Rd
Doylestown, PA 18901-2736

Mailing address

90 Tower Hill Rd
Doylestown, PA 18901-2736
Phone (267) 474-7430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190628001568 PA Practitioner - Clinical Social Worker 3870827512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mhmo, Inc.Group PAC ID 2163400599, 35 clinicians

Practice addresses (Care Compare)

5175 Cold Spring Creamery Rd
Suite 1
Doylestown, PA 18902-6288
Phone (484) 260-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CW019930PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mhmo, Inc. CurrentSince May 15, 2023 Accepting new patients
HR Physician Services PastSince Aug 8, 2021 Accepting new patients

Locations

5175 Cold Spring Creamery Rd
Ste 1
Doylestown, PA 18902
Phone (215) 348-9640

523 Plymouth Rd
Ste 215
Plymouth Mtng, PA 19462
Phone (610) 825-9400

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, 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": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1962975672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 TOWER HILL RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012736",
            "telephone_number": "267-474-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 TOWER HILL RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012736",
            "telephone_number": "267-474-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI-CARROLL",
        "first_name": "KAMINI",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.