MR. CHARLES J CARROLL (NPI# 1215149000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215149000 |
| Entity Type | Individual |
| Full Name | MR. CHARLES J CARROLL |
| Credential | LCSW |
| Practice Address |
328 Sparta Ave Suite F Sparta NJ 07871-1112 |
| Practice Telephone | 9737296333 |
| Mailing Telephone | 9737296333 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC04507500 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952891038 | Charles Francis Carroll | Psychologist | 17 Alvin Rd, Plymouth, MA 02360-3920 | 2018-05-15 |
| 1790055564 | Charles Peter Carroll | Surgery | 974 Kealaolu Avenue, Honolulu, HI 96816 | 2012-01-10 |
| 1003846353 | Charles Shannon Carroll | Obstetrics & Gynecology | 291 E Layfair Dr, Flowood, MS 39232-9527 | 2006-07-03 |
| 1962445890 | Charles W Carroll | Family Medicine | 56 Cedar St, Tipton, IA 52772-1705 | 2006-06-14 |
| 1396224051 | Charles Carroll | Counselor | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2018-08-13 |
| 1518335850 | Charles Carroll | Counselor | 98 N Front St, New Bedford, MA 02740-7327 | 2015-09-03 |
| 1689647448 | Charles Carroll Iv | Orthopaedic Surgery | 680 N Lake Shore Dr, Ste 924, Chicago, IL 60611-4546 | 2006-02-10 |
| 1114927373 | Charles Loyd Carroll | Emergency Medicine | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 | 2005-07-28 |
| 1780681239 | Charles Patrick Carroll | Ophthalmology | 89 Sylvania Dr, 2nd Fl, Dayton, OH 45440-3237 | 2005-06-30 |
| Street Address |
328 SPARTA AVE SUITE F |
| City | SPARTA |
| State | NJ |
| Zip Code | 07871-1112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477510782 | Michael B O'neill | Pediatrics | 328 Sparta Ave, Sparta, NJ 07871 | 2006-04-28 |
| 1891008041 | Cheryl L Reitz | Counselor | 328 Sparta Ave, Sparta, NJ 07871 | 2010-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412737 | Jennifer Lynne Coviello | Physical Therapist | 10 North N Village Blvd, Suite D, Sparta, NJ 07871 | 2020-09-17 |
| 1104442466 | Sparta Senior Living, LLC | Assisted Living Facility | 3 North Village Boulevard, Sparta, NJ 07871 | 2020-06-23 |
| 1679115836 | Peli Eyecare and Associates | Optometrist | 10 North Village Boulevard, Suite C, Sparta, NJ 07871 | 2019-10-09 |
| 1841859451 | Ronetco Supermarkets, Inc. | Pharmacy | 18 North Village Boulevard, Sparta, NJ 07871 | 2019-06-07 |
| 1013571165 | North Jersey Scoliosis and Physical Therapy Specialists, LLC | Physical Therapist | 580 Lafayette Rd, St K, Sparta, NJ 07871 | 2019-04-24 |
| 1356805881 | Amazing Strides of Nj LLC | Behavioral Analyst | #322, 270 Sparta Ave., Suite 104, Sparta, NJ 07871 | 2019-01-29 |
| 1023589942 | Trinity Rehab Somerset Pa | Physical Therapist | 10 North Village Blvd, Suite D, Sparta, NJ 07871 | 2018-12-17 |
| 1053881649 | Lisa Arline Frisbie | Counselor | 25 Main Street Rear Suite, Sparta, NJ 07871 | 2018-11-27 |
| 1740756444 | Three Treasures Acupuncture of New Jersey, LLC | Acupuncturist | 43 Main Street Suite 102, Sparta, NJ 07871 | 2018-10-19 |
| 1952884181 | Capitol Care, Inc. | Community/Behavioral Health | 6 Laddey Lane, Sparta, NJ 07871 | 2018-09-13 |
| Find all providers in zip 07871 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655564 | Ryan Joseph Jones | Social Worker | 904 Angelo Rd, Sparta, WI 54656-1416 | 2020-09-30 |
| 1750997144 | Kellie Elizabeth Hackett | Social Worker | 43 Main St Ste 101, Sparta, NJ 07871-1972 | 2020-09-21 |
| 1164035143 | Jalyn Elizabeth Stuart | Social Worker | 515 Martindale St, Sparta, MI 49345-1466 | 2020-08-28 |
| 1962966002 | Kimberly Loepp | Social Worker | Daymark Alleghany County, 1650 Nc Highway 18 S, Sparta, NC 28675 | 2019-01-23 |
| 1639646888 | Melisa Ann Varcardiponi | Social Worker | 17 Woodport Rd Ste 2c, Sparta, NJ 07871-2415 | 2018-10-25 |
| 1699283812 | Lesley Blair Icenhour | Social Worker | 1650 Nc Highway 18 S, Sparta, NC 28675-8478 | 2018-01-22 |
| 1619408689 | Taryn Blaustein | Social Worker | 46 Main St Ste 110, Sparta, NJ 07871-1910 | 2017-03-22 |
| 1750732350 | Tri-county Behavioral Care, LLC | Social Worker | 172 Woodport Rd, Suite D, Sparta, NJ 07871-2611 | 2016-06-24 |
| 1477954626 | Andrea J Tramper | Social Worker | 2111 12 Mile Rd, Sparta, MI 49345-9754 | 2014-09-08 |
| 1952701559 | Debra Jane Willison | Social Worker | 161 Ida Red Ave, Sparta, MI 49345-1715 | 2014-09-02 |
| Find all providers in SPARTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.