GEORGE LEWIS CARLSON JR. (NPI# 1346575297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346575297 |
| Entity Type | Individual |
| Full Name | GEORGE LEWIS CARLSON JR. |
| Credential | PH.D.,LCSW-C |
| Practice Address |
8850 Columbia 100 Pkwy Suite 403 Columbia MD 21045-2374 |
| Practice Telephone | 4107300552 |
| Practice Fax Number | 4107154720 |
| Mailing Telephone | 4107300552 |
| Mailing Fax Number | 4107154720 |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2013-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
06899 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598967119 | George Carlson | Anesthesiology | 645 Laniolu Pl, Kihei, HI 96753-9343 | 2007-06-05 |
| 1790158079 | George Carlson | Social Worker | 203 Lane Ave, Punxsutawney, PA 15767-2118 | 2015-11-09 |
| 1942477906 | George Augest Carlson | Technician | 27885 170th Ave Sw, Crookston, MN 56716-9444 | 2008-05-09 |
| Street Address |
8850 COLUMBIA 100 PKWY SUITE 403 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-2374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417923905 | Kendra Kirstie Kay | Internal Medicine | 8850 Columbia 100 Pkwy, Ste 301, Columbia, MD 21045-2377 | 2006-02-24 |
| 1659816254 | Javod K Gol Dds PC | Dentist | 8850 Columbia 100 Pkwy, Suite 312, Columbia, MD 21045-2374 | 2017-01-05 |
| 1215398334 | Innovative Psychiatry LLC | Psychiatry & Neurology | 8850 Columbia 100 Pkwy, Suite 403, Columbia, MD 21045-2374 | 2016-03-17 |
| 1124483029 | Roshni Liz Chettiar | Nurse Practitioner | 8850 Columbia 100 Pkwy, Suite 301, Columbia, MD 21045-2374 | 2015-12-18 |
| 1376910851 | Rachel Simms | Counselor | 8850 Columbia 100 Pkwy, #203, Columbia, MD 21045-2374 | 2015-08-31 |
| 1154558849 | Jocelyn Paulis Hagan | Social Worker | 8850 Columbia 100 Pkwy, Columbia, MD 21045-2374 | 2009-06-19 |
| 1457518243 | Edisa Tokovic Padder | Pediatrics | 8850 Columbia 100 Pkwy, Suite 301, Columbia, MD 21045-2374 | 2008-05-20 |
| 1174790851 | Cheryl Dewan Bansal | Specialist | 8850 Columbia 100 Pkwy, Suite 316, Columbia, MD 21045-2377 | 2008-05-13 |
| 1578736955 | Grace Dental Clinic, P.a. | Clinic/Center | 8850 Columbia 100 Pkwy, Suite 201, Columbia, MD 21045-2374 | 2008-04-08 |
| 1811177488 | Sheryl Denise Jefferson | Counselor | 8850 Columbia 100 Pkwy, 203, Columbia, MD 21045-2374 | 2007-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| 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 |
|---|---|---|---|---|
| 1699396135 | Elana Patrice Bouldin | Social Worker | 5570 Sterrett Pl Ste 205, Columbia, MD 21044-2649 | 2020-05-06 |
| 1659992998 | Stacey Denise Mcphail | Social Worker | 5402 Magnolia Park Cir, Columbia, SC 29206-1164 | 2020-04-28 |
| 1205455912 | Jordan Desai | Social Worker | 826 Maple St, Columbia, SC 29205-1732 | 2020-04-13 |
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1740810183 | Shannon Jean Haynes | Social Worker | 755 Viola Ct, Columbia, SC 29229-7089 | 2020-01-24 |
| 1093345241 | Michael R. Williams | Social Worker | 304 Laurel Rise Ln, Columbia, SC 29229-7403 | 2020-01-16 |
| 1427697523 | Elizabeth Lynn Meritt | Social Worker | 7344 Eden Brook Dr Apt 928, Columbia, MD 21046-1288 | 2020-01-06 |
| 1134762735 | Scott Buis | Social Worker | 2120 E Business Loop 70, Columbia, MO 65201-5504 | 2019-10-26 |
| 1295378859 | Andrea Terese Rule | Social Worker | 210 W Sand Bank Rd Ste 14, Columbia, IL 62236-1044 | 2019-10-25 |
| 1710529144 | Christine M Lero | Social Worker | 1604 Pickard Way, Columbia, MO 65203-4722 | 2019-10-17 |
| Find all providers in COLUMBIA | ||||
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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.