MRS. JACQUELINE CARROLL (NPI# 1447561618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447561618 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE CARROLL |
| Credential | L.C.S.W.-R |
| Practice Address |
31 Beach Ave Port Jefferson Station NY 11776-2121 |
| Practice Telephone | 6317932972 |
| Mailing Telephone | 6317932972 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
069692 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568096535 | Jacqueline Joan Carroll | Music Therapist | 3133 Linda Ln Apt C, Allentown, PA 18103-6965 | 2020-02-27 |
| 1306060330 | Jacqueline Denise Howell Carroll | Speech-Language Pathologist | 4621 Longbridge Lane, Lexington, KY 40515-6135 | 2007-04-12 |
| 1508957663 | Jacqueline Carroll | Physician Assistant | 510 Carolina Bay Dr, Ste 110, Wilmington, NC 28403-2041 | 2006-09-27 |
| 1104366400 | Jacqueline Carroll | Nurse Practitioner | 21 Highland Ave, Ajh, Cardiology Department, Newburyport, MA 01950-3872 | 2017-03-06 |
| 1316301286 | Jacqueline Carroll | Occupational Therapist | 638 Brandywine Pkwy, West Chester, PA 19380-4278 | 2016-04-07 |
| 1184847253 | Jacqueline Margaret Carroll | Physical Therapist | 135 Erie St E, Blauvelt, NY 10913-1823 | 2007-04-10 |
| 1912026279 | Jacqueline Ann Carroll | Registered Nurse | 1407 Saint Andrew St, Ste 100, La Crosse, WI 54603-3301 | 2007-03-28 |
| 1851431258 | Jacqueline Carroll | Counselor | 3925 N College Ave, Suite 101, Indianapolis, IN 46205-2734 | 2007-02-07 |
| Street Address |
31 BEACH AVE |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| 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 |
|---|---|---|---|---|
| 1962061432 | Jane Salzano Lcsw P.C. | Social Worker | 1050 Hallock Ave Ste 4, Port Jefferson Station, NY 11776-1214 | 2019-06-10 |
| 1154808459 | Turning Point Therapy, Lcsw, PC | Social Worker | 1050 Hallock Ave Ste 2, Port Jefferson Station, NY 11776-1214 | 2018-07-19 |
| 1548628605 | Allison Michele Maccarello | Social Worker | 4 Lenore Ct, Port Jefferson Station, NY 11776-1711 | 2016-02-04 |
| 1285006239 | Laurie A White | Social Worker | 32 Stacy Dr, Port Jefferson Station, NY 11776-3162 | 2015-10-28 |
| 1114206810 | Andrea Beth Gordon | Social Worker | 50 Penn St, Port Jefferson Station, Port Jefferson Station, NY 11776-3808 | 2011-08-11 |
| 1073806980 | Maya Malenka | Social Worker | 57 Birchwood Dr, Port Jefferson Station, NY 11776-3519 | 2011-05-25 |
| 1144521394 | James A Seitz | Social Worker | 17 Bergen Pl, Port Jefferson Station, NY 11776-1201 | 2010-11-04 |
| 1871776443 | Patricia Marie Bass | Social Worker | 341 Jayne Blvd, Port Jefferson Station, NY 11776-2971 | 2007-12-06 |
| 1194918110 | Debra Lograno Dazzo | Social Worker | 204 Patchogue Rd, Port Jefferson Station, NY 11776-1021 | 2007-08-22 |
| 1760672075 | Mary Ellen M Johnston | Social Worker | 23 Kennedy Rd, Port Jefferson Station, NY 11776-1809 | 2007-08-01 |
| Find all providers in PORT JEFFERSON STATION | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
Please comment or provide details below to improve the information on MRS. JACQUELINE CARROLL.
| 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.