John Carroll is a Clinical in Clinton, New York. John Carroll practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Carroll is 1083794838. The last update date is 2007-07-08.
John Carroll's current location address is 84 Old Kirkland Ave, Clinton, New York. You can contact this provider via phone number 3158533268. The mailing address for John Carroll is 84 Old Kirkland Ave, Clinton, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Carroll |
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Address | 84 Old Kirkland Ave, Clinton, New York |
Phone Number | 3158533268 |
Fax Number | |
Sole Proprietor | N |
Credentials | LCSW-R |
NPI Number Detail
NPI Number | 1083794838 |
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Provider Enumeration Date | 2006-10-16 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 84 Old Kirkland Ave |
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City | Clinton |
State | New York (NY) |
Post Code | 133231435 |
Phone Number | 3158533268 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 11855 |
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 John Carroll's 1083794838?
The John Carroll's NPI (National Provider Identifier) Number is 1083794838. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the John Carroll located?
The John Carroll is located at 84 Old Kirkland Ave, Clinton, NY 133231435.
What is John Carroll's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Carroll's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the John Carroll receive its 1083794838 assignment from the Centers for Medicare & Medicaid Services?
The John Carroll was assigned its 1083794838 by the Centers for Medicare & Medicaid Services on 2006-10-16.
When was the John Carroll's information last updated?
The John Carroll's information was last updated on 2007-07-08.