| Carroll Psychotherapy, LLC | |
|
510 Main Ave Ste 7 Brookings SD 57006-2010 | |
| (605) 865-4105 | |
| (605) 443-1320 |
| Full Name | Carroll Psychotherapy, LLC |
|---|---|
| Speciality | Social Worker |
| Location | 510 Main Ave Ste 7, Brookings, South Dakota |
| Authorized Official Name and Position | Kelsey Carroll (PROVIDER/OWNER) |
| Authorized Official Contact | 6058654105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carroll Psychotherapy, LLC 510 Main Ave Ste 7 Brookings SD 57006-2010 Ph: (605) 865-4105 | Carroll Psychotherapy, LLC 510 Main Ave Ste 7 Brookings SD 57006-2010 Ph: (605) 865-4105 |
| NPI Number | 1790640225 |
|---|---|
| Provider Enumeration Date | 12/17/2025 |
| Last Update Date | 12/17/2025 |
| Certification Date | 12/17/2025 |
| Medicare PECOS PAC ID | 3072092212 |
|---|---|
| Medicare Enrollment ID | O20260209002223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790640225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Provider Name | Kelsey Marie Carroll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801458575 PECOS PAC ID: 4981183126 Enrollment ID: I20260325001338 |
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