Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexis Lynn Carroll

Individual provider Social Worker · NPI 1689346074

Alexis Lynn Carroll is a Clinical Social Worker in Bridgeport, Connecticut. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Connecticut.

Years since qualifying
5
Licensed in
CT
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

655 Park Ave
Bridgeport, CT 06604-4634
Phone: (203) 275-0700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1565 Byam Rd, Cheshire, CT 06410-1004 — (203) 592-9826

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 13681 (CT)
Social Worker Taxonomy 104100000X · Licence 6017 (CT)

Record details

NPI number1689346074
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 4, 2021
Last updated in NPPESJune 7, 2025
Certification dateJune 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Bridgeport