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Deactivated NPI 1407934649 Deactivated / Inactive NPI Female Practitioner

Carol Stoller , LCSW

Social Worker • Bayside, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Carol Stoller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 02, 2006
NPI Deactivation Date October 23, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Carol Stoller, LCSW was a registered Social Worker practicing in Bayside, NY. Throughout an active medical career spanning 19 years, Carol Stoller provided care at the practice location at 216 15 NORTHERN BLVD until profile deactivation on 2025-10-23.

Practice Location & Contact Primary Location

Practice Address

216 15 Northern Blvd

Bayside, NY 11361

Telephone 7188300246
Fax 7188309088
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Bayside, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.8 Yrs
State Avg: 20.1 Yrs
Regional Practice Density
52 Specialists

Practicing in Bayside, NY (23970 Statewide)

Telehealth Adoption Rate
3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License NY 032456

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Beth Tipperman , LCSW

Social Worker - Clinical

NPI 1013151380

Licensed Clinical Social Worker

Imtisal Tabbassum

Social Worker

NPI 1023609682
Kishauna Sinclair , LCSW

Social Worker - Clinical

NPI 1043613425

Licensed Clinical Social Worker

NPI 1043799091

Licensed Master Social Worker

NPI 1053408351

Licensed Clinical Social Worker - Registered

Jamila Mclaughlin , LCSW

Social Worker - Clinical

NPI 1073968301

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 23, 2025

Record deactivated on October 23, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 216 15 NORTHERN BLVD, BAYSIDE, NY 11361 (Tel: 7188300246)

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Updated Business Mailing Address July 08, 2007

Registered at 98 120 QUEENS BLVD, APT 1C, REGO PARK, NY 11374 (Tel: 7188300246)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CAROL STOLLER, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #032456 in NY)

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Initial NPI Registration & Enumeration November 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407934649
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2006
Last Update: July 08, 2007
Deactivation Date: October 23, 2025

Mailing Address

98 120 Queens Blvd, Apt 1c

Rego Park, NY 11374

Phone: 7188300246

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.