Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. NAOMI CARRICO CSW
NPI 1104364462
Counselor - Mental Health in Louisville, KY

Q: What is Naomi Carrico's NPI number?

The NPI number for Naomi Carrico is 1104364462. It was assigned to this individual provider in the NPPES registry on February 7, 2017.

Q: What is Naomi Carrico's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Naomi Carrico was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 07, 2017PECOS EnrolledAccepts Medicare Assignment

2821 KLEMPNER WAY, LOUISVILLE, KY 40205(502) 452-6341(502) 452-6718 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 25, 2026, Mar 13, 2017, Feb 7, 2017 (3 updates tracked since 2017).

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About Ms. Naomi Carrico Csw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. NAOMI CARRICO CSW (NPI 1104364462) is an individual mental health provider in Louisville, Kentucky, licensed in Kentucky (255414) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Louisville, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1104364462

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. NAOMI CARRICOCredential: CSW

Location Address2821 KLEMPNER WAYLouisville, KY 40205

Mailing Address518 Eline AveLouisville, KY 40207-3656 · (502) 552-4214

Phone(502) 452-6341

Fax(502) 452-6718

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateFebruary 7, 2017

Last NPPES UpdateAugust 25, 20263 updates tracked since enumeration

NPPES CertifiedAugust 25, 2026

✔ NPI 1104364462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in KY · 255414✔ Licensed in KY · 252474

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 255414 (KY)

2821 KLEMPNER WAY, Louisville, KY 40205

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Secondary Practice Location 1

Location 1130 Fairfax Ave Ste 100ALouisville, KY 40207-4948 · Phone (502) 552-4214

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Naomi Carrico Csw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880193937

PECOS Enrollment IDI20250815004330

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH KRISTINE ROOS LP

Psychologist (Clinical)