MARY C CARROLL MSSW, LICSW
NPI 1417041500
Social Worker - Clinical in Woodbury, MN

NPI Status: Active since October 03, 2006

Contact Information

1000 RADIO DR
WOODBURY, MN
ZIP 55125
Phone: (651) 365-8209
Fax: (651) 739-0272

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  • Individual
  • Female
  • Social Worker
  • Clinical

About MARY CARROLL

This page provides the complete NPI Profile along with additional information for Mary Carroll, a provider established in Woodbury, Minnesota with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1417041500 assigned on October 2006. The practitioner's primary taxonomy code is 1041C0700X with license number 9524 (MN). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1417041500
Provider Name
MARY C CARROLL MSSW, LICSW
Gender
Female
Entity Type
Individual
Location Address
1000 RADIO DR WOODBURY, MN 55125
Location Phone
(651) 365-8209
Location Fax
(651) 739-0272
Mailing Address
1000 RADIO DR WOODBURY, MN 55125
Is Sole Proprietor?
No
Enumeration Date
10-03-2006
Last Update Date
07-08-2007
Code Navigator

A clinical social worker like Mary Carroll is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
9524
License State
MN
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
HP19174OTHER (01)MNHEALTHPARTNERS
108544OTHER (01)MNUCARE
494S0CAOTHER (01)MNBCBS
62-49483OTHER (01)MNUBH

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1417041500
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
242704250
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 0 + 4 + 2 + 5 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1417041500 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326190299 GEORGE J KINNEY, JR. D.D.S.
Individual
Dentist (General Practice)1000 RADIO DR SUITE 240
WOODBURY, MN 55125
(651) 739-1894
1669524542 THOMAS J MUSSER D.D.S.
Individual
Dentist (General Practice)1000 RADIO DR SUITE 240
WOODBURY, MN 55125
(651) 739-1894
1639312077MR. ZACHARY A BREZINKA PT
Individual
Physical Therapist1000 RADIO DR SUITE 100
WOODBURY, MN 55125
(651) 702-0555
1063738847 RENEE M KINNEY DDS
Individual
Dentist1000 RADIO DR SUITE 240
WOODBURY, MN 55125
(651) 739-1894
1639472574 MELANIE WENTE OT/L
Individual
Occupational Therapist1000 RADIO DR SUITE 110
WOODBURY, MN 55125
(651) 702-0555
1003222068 BRADLEY LEAFBLAD PT
Individual
Physical Therapist1000 RADIO DR # 120
WOODBURY, MN 55125
(651) 735-6100
1053491449 NANCY BETH MAREK PT PHYSICAL THERAPIS
Individual
Physical Therapist1000 RADIO DR SUITE 120
WOODBURY, MN 55125
(651) 735-6100
1477672897 SHANNON M RUST PT
Individual
Physical Therapist1000 RADIO DR STE 120
WOODBURY, MN 55125
(651) 735-6100
1235166141MRS. CAROLINE A MASON MD
Individual
Specialist1000 RADIO DR SUITE 120
WOODBURY, MN 55125
(651) 735-6100
1376992883 LAURA SCHULKE MA, LPCC
Individual
Counselor (Mental Health)1000 RADIO DR SUITE 210
WOODBURY, MN 55125
(651) 365-8259
1295055382 PAMELA J MCCABE MA, LMFT
Individual
Marriage & Family Therapist1000 RADIO DR SUITE 210
WOODBURY, MN 55125
(651) 365-8209
1407309784HENSELER ORTHODONTICS
Organization
Dentist (Orthodontics and Dentofacial Orthopedics)1000 RADIO DR SUITE 220
WOODBURY, MN 55125
(651) 739-1555
1952862088 MICHAEL THOMAS LAUSE
Individual
Dermatology1000 RADIO DR
WOODBURY, MN 55125
(651) 495-6865
1013324227DR. LAUREN BRIN HERMANS M.D.
Individual
Dermatology1000 RADIO DR
WOODBURY, MN 55125
(651) 495-6865

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417041500, enumerated in the NPI registry as an "individual" on October 03, 2006

The provider is located at 1000 Radio Dr Woodbury, Mn 55125 and the phone number is (651) 365-8209

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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