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ALEXIS LYNN CARROLL
NPI 1689346074
Social Worker - Clinical in Bridgeport, CT

Active since October 04, 2021PECOS Enrolled
655 PARK AVE, BRIDGEPORT, CT 06604(203) 275-0700 Get Directions Write a Review

NPPES record last updated: June 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2025, Oct 27, 2022, Oct 4, 2021 (3 updates tracked since 2021).

About Alexis Lynn Carroll NPPES

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

ALEXIS LYNN CARROLL (NPI 1689346074) is an individual clinical provider in Bridgeport, Connecticut, licensed in Connecticut (13681) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cheshire, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1689346074
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALEXIS LYNN CARROLL
Location Address655 PARK AVEBridgeport, CT 06604-4634
Mailing Address1565 Byam RdCheshire, CT 06410-1004 · (203) 592-9826
Phone(203) 275-0700
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 4, 2021
Last NPPES UpdateJune 7, 20253 updates tracked since enumeration
NPPES CertifiedJune 7, 2025
✔ NPI 1689346074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 13681
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 6017 (CT)
655 PARK AVE, Bridgeport, CT 06604
Open in Google Maps ↗

Secondary Practice Location 1

Location 11565 Byam RdCheshire, CT 06410-1004 · Phone (203) 592-9826

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Lynn Carroll is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183129869
PECOS Enrollment IDI20250924001463
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

KEITH MCPHERSON LMSW
Social Worker
655 PARK AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 338-0669
MOISES ELIAS ORTEGA LMSW
Social Worker
655 PARK AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 818-9888
APPLIED BEHAVIORAL REHABILITATION INSTITUTE INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
655 PARK AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 338-0669

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 Alexis Carroll's NPI number?

The NPI number for Alexis Carroll is 1689346074. It was assigned to this individual provider in the NPPES registry on October 4, 2021.

Where is Alexis Carroll located?

Alexis Carroll practices at 655 Park Ave, Bridgeport, CT 06604. The listed phone number is (203) 275-0700.

What is Alexis Carroll's specialty?

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

Is Alexis Carroll enrolled in Medicare?

Yes. Alexis Carroll is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexis Carroll was last updated on June 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.