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

Carrie Lynn Vine, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1215673397

Carrie Lynn Vine, MSW, LCSW is a Clinical Social Worker in Marion, Illinois. Qualified in 2015, 11 years ago. Works from 2 locations. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2022
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

202 S Bentley St
Marion, IL 62959-1908
Phone: (855) 608-3560
Fax: (618) 997-6489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 29 View Valley Dr, Carbondale, IL 62903-8257 — (915) 217-8288

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.024306 (IL)

Record details

NPI number1215673397
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedMay 11, 2022
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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