Phyllis W Carlson, LICSW
Registered Nurse in Roslindale, Massachusetts
1154486603- Practice location
- 15 Ravenna RD, Roslindale, MA 02131
- Phone
- 617-325-6759
- Fax
- —
- Last updated
- September 11, 2025
Phyllis Widbur Carlson is a Registered Nurse based in Roslindale, MA. Phyllis Widbur Carlson practices in Roslindale, MA and has the professional credentials of LICSW. The NPI Number for Phyllis Widbur Carlson is 1154486603 and holds a License No. 100299 (MA). The current practice location address for Phyllis Widbur Carlson is 15 Ravenna RD, Roslindale, MA 02131 and can be reached out via phone at 617-325-6759.
Provider Profile Details
- NPI Number
- 1154486603
- Provider Name
- Phyllis Widbur Carlson
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 15 Ravenna RD, Roslindale, MA 02131
- Phone Number
- 617-325-6759
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 26, 2006
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Ravenna RD
Roslindale, MA 02131 - City
- Roslindale
- State
- Massachusetts
- Zip
- 02131
- Phone Number
- 617-325-6759
Provider Business Mailing Address Details
- Address
- 15 Ravenna RD
Roslindale, MA 02131 - City
- Roslindale
- State
- MA
- Zip
- 02131
- Phone Number
- 617-325-6759
License Information
- License Number (1)
- 100299
- License State (1)
- MA
- Taxonomy (1)
- Social Worker · 104100000X
- License Number (2)
- RN68987
- License State (2)
- MA
- Taxonomy (2)
- Registered Nurse · 163W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Phyllis W Carlson, LICSW?
The NPI number of Phyllis W Carlson, LICSW is 1154486603. It was assigned on December 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Phyllis W Carlson, LICSW?
Phyllis W Carlson, LICSW is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in MA under license number 100299.
Where does Phyllis W Carlson, LICSW practice?
The practice location is 15 Ravenna RD, Roslindale, MA 02131. The office can be reached at 617-325-6759 (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 1154486603 directly on the NPPES registry website.