Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Jeanne Carroll, LCSW, CACIII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1477812964

Stephanie Jeanne Carroll, LCSW, CACIII is a Clinical Social Worker in Greeley, Colorado. Qualified in 2005, 21 years ago. Practices with Banner Health Physicians Colorado LLC, a 277-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
21
Licensed in
CO
In the registry since
2012
Specialties on file
2
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

928 12th St
Greeley, CO 80631-4024
Phone: (970) 352-1056
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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 1244 (CO)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 6678 (CO)

Record details

NPI number1477812964
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CACIII
Sole proprietorNo
NPI enumeratedMay 3, 2012
Last updated in NPPESMay 18, 2012

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Banner Health Physicians Colorado Llc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Greeley