MISS JUDITH LYNN CARROLL (NPI# 1265857999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265857999 |
| Entity Type | Individual |
| Full Name | MISS JUDITH LYNN CARROLL |
| Practice Address |
2428 N Stokesberry Pl Meridian ID 83646-5035 |
| Practice Telephone | 2089393888 |
| Practice Fax Number | 2089395599 |
| Mailing Telephone | 2089393888 |
| Mailing Fax Number | 2089395599 |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-33648 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316265440 | Judith Lynn Carroll | Social Worker | 7422 E Placita Rio Cabo, Tucson, AZ 85715-2827 | 2010-05-13 |
| 1740323211 | Judith S Carroll | Internal Medicine | 1601 Borbeck Ave, Philadelphia, PA 19111-3512 | 2007-02-15 |
| 1548352677 | Judith G Carroll | Psychologist | 5594 Tylertown Ave, Bartlett, TN 38134-3356 | 2006-09-28 |
| 1942742960 | Judith Carroll | Counselor | 36 Public Ave, Montrose, PA 18801-1603 | 2016-11-08 |
| 1982906897 | Judith M Carroll | Registered Nurse | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2010-11-29 |
| 1205069796 | Judith Ann Carroll | Counselor | 6885 Old Hwy 53, Clearlake, CA 95422 | 2009-08-31 |
| 1447393558 | Judith Tammy Carroll | Nurse Practitioner | 333 Washington Ave N, Suite 5000, Minneapolis, MN 55401-1377 | 2007-02-15 |
| Street Address |
2428 N STOKESBERRY PL |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83646-5035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295729085 | Brian Keith Crownover | Family Medicine | 2428 N Stokesberry Pl, Meridian, ID 83646-5035 | 2005-09-07 |
| 1841603768 | Treasure Valley Family Medicine, Pllc | Clinic/Center | 2428 N Stokesberry Pl, Meridian, ID 83646-5035 | 2014-06-09 |
| 1376955013 | Cheryl Botting-hammack | Community Health Worker | 2428 N Stokesberry Pl, Meridian, ID 83646-5035 | 2014-05-29 |
| 1588913214 | Russell Neal Singleton | Physician Assistant | 2428 N Stokesberry Pl, Meridian, ID 83646-5035 | 2012-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1356977466 | Tanabell Health Services Inc | Assisted Living Facility | 2584 E Magic View Dr, Meridian, ID 83646 | 2020-03-20 |
| 1801351176 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
| 1306314323 | Cr Smiles - Meridian Dental Care LLC | Clinic/Center | 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 | 2018-11-07 |
| 1639644107 | Joseph Anomalay | Counselor | 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 | 2018-10-10 |
| 1275015950 | Mcmillan Family Dental Pllc | Clinic/Center | 1720 W. Mcmillan, Meridian, ID 83646 | 2018-08-30 |
| 1609327022 | Finding Home Healthcare, Inc. | Clinic/Center | 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 | 2016-10-20 |
| 1952857161 | Mitchell Truong | Pharmacist | 622 E. Ustick Road, Caldwell, ID 83646 | 2016-08-28 |
| 1134511264 | Brittany Laub | Massage Therapist | 2572 N Stokesberry Pl #300, Meridian, ID 83646 | 2015-02-26 |
| 1194117366 | Westfall Ventures, Inc | Health Maintenance Organization | 2572 N. Stokesberry Pl, Meridian, ID 83646 | 2015-02-25 |
| Find all providers in zip 83646 | ||||
| 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 |
|---|---|---|---|---|
| 1467086603 | Abundant Serenity LLC | Social Worker | 925 N Main St Ste A, Meridian, ID 83642-2301 | 2020-02-26 |
| 1124584685 | Kaitlin Cox | Social Worker | 407 South Hill Street, Meridian, TX 76665 | 2019-02-20 |
| 1194208306 | Jamie Connors | Social Worker | 3525 E Louise Dr Suite 500, Meridian, ID 83642-3555 | 2018-09-13 |
| 1811474877 | Clayton Lynn Smith | Social Worker | 2463 E Gala St Ste 100, Meridian, ID 83642-5210 | 2018-07-23 |
| 1649797705 | Katina Thomas | Social Worker | 2517 56th Ct, Meridian, MS 39305-1346 | 2017-08-29 |
| 1518481480 | Derrick Pringle | Social Worker | 110 48th Ave, Meridian, MS 39307 | 2017-08-01 |
| 1710339155 | Caroline Drummond | Social Worker | 2825 S Meridian Rd, # 150, Meridian, ID 83642-7960 | 2016-07-11 |
| 1639539927 | Cecilia Herrera | Social Worker | 2146 W Pine Ave, Meridian, ID 83642-5434 | 2016-02-29 |
| 1821489105 | Corinne Teigen | Social Worker | 5678 N Pinery Canyon Ave, Meridian, ID 83646-5809 | 2015-02-09 |
| 1205226016 | Progress Place LLC | Social Worker | 5144 Clear Creek Dr, Meridian, MS 39301-8896 | 2015-02-01 |
| Find all providers in MERIDIAN | ||||
Please comment or provide details below to improve the information on MISS JUDITH LYNN 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.