Individual provider · Type 1 NPI

Annie Larae Carroll, LCSW

Clinical Social Worker · Mcconnell Afb, KS

NPI number 1821390303 Active

Practice location

57950 Leavenworth St
Mcconnell Afb, KS 67221-3505

Call (316) 759-2000 Map

Mailing address

57950 Leaveworth St
Mcconnell Afb, KS 67221-3900

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X5968-S (NV)
Clinical Social Worker Primary 1041C0700X7357-C (NV)
Clinical Social Worker 1041C0700X06501 (KS)

Clinical Social Worker: 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 interpers…

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About NPI 1821390303

Annie Larae Carroll, LCSW's National Provider Identifier is 1821390303, issued on Dec 3, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mcconnell Afb, KS. The record was last updated on Nov 19, 2025.