Carrie Marie Soicial Service Agency
Counselor, Addiction (Substance Use Disorder) in Gary, IN. Organization (NPI-2).
NPI number1851848972
StatusActive
Last updated in NPPESSep 7, 2016
Details
- NPI
- 1851848972
- Entity type
- Organization (NPI-2)
- Legal business name
- Carrie Marie Soicial Service Agency
- Organization subpart
- No
- Enumeration date
- Sep 7, 2016
- Last updated
- Sep 7, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
839 BroadwaySuite N107
Gary, IN 46402-2414
Phone 312-468-5336
Mailing address
839 BroadwaySuite N107
Gary, IN 46402-2414
Phone 312-468-5336
Authorized official
Darcelmarie Smith
Ceo
3124685336
Is something wrong?
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