Kamryn Judith Carlson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-40263 Issued in ID

Practice address

452 D St
Idaho Falls, ID 83402-3531

Phone

(208) 552-0355

NPI assigned

Feb 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Vista Family Services LLC

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
  • NPI 1235353251
  NPD

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1972197135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 RUBY CIR UNIT 301",
            "city": "SHELLEY",
            "state": "ID",
            "postal_code": "832741023",
            "telephone_number": "208-481-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 D ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023531",
            "telephone_number": "208-552-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "KAMRYN",
        "middle_name": "JUDITH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-40263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carepoint Inpatient Blue Sky Neurology Idaho, LLC
• Kryston Chenay Carling, PHARMD
• Cody Lee Carlson, LPC
• Jessica C. Carlson, L.P.C.
• Julie Ann Carlson, LCSW
• Carmen Hernandez Radford
• Cathryn D Carpenter
• Lindsay Carpenter, RN, IBCLC
• Uriel Alejandro Carranza, LMSW
• Rebecca Ann Carrier, PH.D.

• Social Worker in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.