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

Individual provider Clinical Social Worker · NPI 1205062932

Mary CHI Carlisle, LCSW is a Clinical Social Worker in Lutz, Florida. Qualified in 2002, 24 years ago. Practices with Doctor on Demand Professionals P C, a 127-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
24
Licensed in
FL
In the registry since
2009
What do these letters mean?
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

16707 Windsor Park Dr
Lutz, FL 33549-6848
Phone: (813) 367-7733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW9443 (FL)

Record details

NPI number1205062932
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 9, 2009
Last updated in NPPESDecember 29, 2021
Certification dateDecember 29, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Doctor On Demand Professionals P C — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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