Alice Eda Carroll is a Clinical in Aptos, California. Alice Eda Carroll practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alice Eda Carroll is 1285790956. The last update date is 2007-07-08.
Alice Eda Carroll's current location address is 130 Tiburon Ct, Aptos, California. You can contact this provider via phone number 8316851222. The mailing address for Alice Eda Carroll is 130 Tiburon Ct, Aptos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alice Eda Carroll |
|---|---|
| Address | 130 Tiburon Ct, Aptos, California |
| Phone Number | 8316851222 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW LCSW |
NPI Number Detail
| NPI Number | 1285790956 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 130 Tiburon Ct |
|---|---|
| City | Aptos |
| State | California (CA) |
| Post Code | 95003 |
| Phone Number | 8316851222 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS12910 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identification code assigned to Alice Eda Carroll by the Centers for Medicare & Medicaid Services?
The Alice Eda Carroll has been issued the NPI (National Provider Identifier) 1285790956. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Alice Eda Carroll is physically located?
The Alice Eda Carroll is physically situated at the following address: 130 Tiburon Ct, Aptos, CA, 95003.
What is the Alice Eda Carroll's area of specialization and corresponding taxonomy classification?
The Alice Eda Carroll's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Alice Eda Carroll receive its 1285790956 assignment from the Centers for Medicare & Medicaid Services?
The Alice Eda Carroll was assigned its 1285790956 by the Centers for Medicare & Medicaid Services on 2006-12-28.
When was the information pertaining to Alice Eda Carroll most recently updated or revised?
The details related to Alice Eda Carroll, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC