MEDICARE: CAROLINE ANDERSEN CARR LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	149.041123	IL

General Provider Information

NPI Number	:	1386535169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE ANDERSEN CARR LCSW

Provider Business Mailing Address
First Line	:	1801 W CORNELIA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-1019
Country	:	US
Telephone Number	:	312-391-4486
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 W CORNELIA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-1019
Country	:	US
Telephone Number	:	312-391-4486
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2025
Last Update Date	:	05/05/2026

Similar Medicare Providers

1881710846 — DR. JENNIFER ROTHKOPF M.D.
Practice Location Address:

1841 W CORNELIA AVE
CHICAGO, IL
60657-1019

Practice Phone: 773-332-9597
Practice Fax:

1144199308 — CANDACE A KYLES
Practice Location Address:

1019 W 110TH ST
CHICAGO, IL
60643-3741

Practice Phone: 773-985-7732
Practice Fax:

1215991161 — DR. JULITA MARIE MCPHERSON M.D.
Practice Location Address:

3525 S MICHIGAN AVE
CHICAGO, IL
60653-1019

Practice Phone: 312-945-4010
Practice Fax: 312-945-4032

1740222140 — MS. SHARON MATLOCK APN CNM
Practice Location Address:

3525 S MICHIGAN AVE , NEAR SOUTH HEALTH CENTER
CHICAGO, IL
60653-1019

Practice Phone: 312-945-4048
Practice Fax: 312-945-4088

1154345635 — ABINA GONCALVES M.D.
Practice Location Address:

3525 S MICHIGAN AVE
CHICAGO, IL
60653-1019

Practice Phone: 312-945-4010
Practice Fax: 312-945-4088

1013004670 — JATEEN C PATEL M.D.
Practice Location Address:

8201 EAST RIVERSIDE BLVD
CHICAGO, IL
60673-1019

Practice Phone: 815-971-7000
Practice Fax:

Directions to “ CAROLINE ANDERSEN CARR LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.