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

Active since October 03, 2006
1000 RADIO DR, WOODBURY, MN 55125(651) 365-8209(651) 739-0272 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary C Carroll Mssw, Licsw NPPES

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

MARY C CARROLL MSSW, LICSW (NPI 1417041500) is an individual clinical provider in Woodbury, Minnesota, licensed in Minnesota (9524) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1417041500
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY C CARROLLCredential: MSSW, LICSW
Location Address1000 RADIO DRWoodbury, MN 55125-8409
Mailing Address1000 Radio DrWoodbury, MN 55125-8409
Fax(651) 739-0272
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1417041500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 9524
Definition
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.
1000 RADIO DR, Woodbury, MN 55125

Other Identifiers 4

OtherHP19174MN · Healthpartners
Other108544MN · Ucare
Other494S0CAMN · Bcbs
Other62-49483MN · Ubh

Other Providers at the Same Location NPPES 15

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

Physical Therapist
1000 RADIO DR, # 120
WOODBURY, MN 55125
Dermatology
1000 RADIO DR
WOODBURY, MN 55125
Physical Therapist
1000 RADIO DR, SUITE 120
WOODBURY, MN 55125
Dentist
1000 RADIO DR, SUITE 240
WOODBURY, MN 55125
Specialist
1000 RADIO DR, SUITE 120
WOODBURY, MN 55125
Marriage & Family Therapist
1000 RADIO DR, SUITE 210
WOODBURY, MN 55125
Dentist (General Practice)
1000 RADIO DR, SUITE 240
WOODBURY, MN 55125
Counselor (Mental Health)
1000 RADIO DR, SUITE 210
WOODBURY, MN 55125

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Carroll's NPI number?

The NPI number for Mary Carroll is 1417041500. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Mary Carroll located?

Mary Carroll practices at 1000 Radio Dr, Woodbury, MN 55125. The listed phone number is (651) 365-8209.

What is Mary Carroll's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mary Carroll was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.