Active NPIIndividual provider

Elizabeth A Carroll, MSW LICSW

Social Worker, School in Georgetown, Massachusetts

NPI Number1013494731
Practice location
Penn Brook School 68 Elm St, Georgetown, MA 01833
Fax
—
Last updated
July 25, 2018

Elizabeth Anne Carroll is a Social Worker, School based in Georgetown, MA. Elizabeth Anne Carroll practices in Georgetown, MA and has the professional credentials of MSW LICSW. The NPI Number for Elizabeth Anne Carroll is 1013494731 and holds a License No. 115285 (MA). The current practice location address for Elizabeth Anne Carroll is Penn Brook School 68 Elm St, Georgetown, MA 01833 and can be reached out via phone at 978-352-5785.

Provider Profile Details

NPI Number
1013494731
Provider Name
Elizabeth Anne Carroll
Credential
MSW LICSW
Provider Entity Type
Individual
Gender
Female
Address
Penn Brook School 68 Elm St, Georgetown, MA 01833
Phone Number
978-352-5785
Primary Taxonomy
Social Worker, School · 1041S0200X
Sole Proprietor
No
Provider Enumeration Date
July 25, 2018
Last Update Date
July 25, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
Penn Brook School 68 Elm St
Georgetown, MA 01833
Zip
01833
Phone Number
978-352-5785
Georgetown, MA 01833Get directions →

Provider Business Mailing Address Details

Address
37 Holten St Apt 11
Danvers, MA 01923-1933
City
Danvers
State
MA
Zip
01923-1933
Phone Number
978-590-2570

License Information

License Number (1)
115285
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
115285
License State (2)
MA
Taxonomy (2)
Social Worker, School · 1041S0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elizabeth A Carroll, MSW LICSW?

The NPI number of Elizabeth A Carroll, MSW LICSW is 1013494731. It was assigned on July 25, 2018 and is currently active in the NPPES registry.

What is the specialty of Elizabeth A Carroll, MSW LICSW?

Elizabeth A Carroll, MSW LICSW is registered under the primary taxonomy Social Worker, School (code 1041S0200X), licensed in MA under license number 115285.

Where does Elizabeth A Carroll, MSW LICSW practice?

The practice location is Penn Brook School 68 Elm St, Georgetown, MA 01833. The office can be reached at 978-352-5785 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013494731 directly on the NPPES registry website.

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