Kelly A Carroll is a Clinical in Waterbury, Connecticut. Kelly A Carroll practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly A Carroll is 1619056595. The last update date is 2007-07-08.
Kelly A Carroll's current location address is 55 West Main Street, Waterbury, Connecticut. You can contact this provider via phone number 2038056408 and fax number 2038056432. The mailing address for Kelly A Carroll is 55 West Main Street, Waterbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelly A Carroll |
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Address | 55 West Main Street, Waterbury, Connecticut |
Phone Number | 2038056408 |
Fax Number | 2038056432 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1619056595 |
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Provider Enumeration Date | 2006-11-03 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 55 West Main Street |
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City | Waterbury |
State | Connecticut (CT) |
Post Code | 6702 |
Phone Number | 2038056408 |
Fax Number | 2038056432 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 4724 |
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 Kelly A Carroll's 1619056595?
The Kelly A Carroll's NPI (National Provider Identifier) Number is 1619056595. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kelly A Carroll's physical address?
The Kelly A Carroll is physically located at 55 West Main Street, in the city of Waterbury, CT, with the postal code 6702.
What is Kelly A Carroll's area of expertise and its corresponding taxonomy classification?
The Kelly A Carroll's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did the Kelly A Carroll receive its 1619056595?
The Kelly A Carroll was issued its 1619056595 on 2006-11-03, which is the date when the organization was assigned this unique identifier.
As of what date were the Kelly A Carroll's details last updated?
The information pertaining to the Kelly A Carroll, including its address, specialty, and other details, was most recently updated on 2007-07-08.