Active NPIIndividual providerSole proprietor

Dr. Jennifer Carlson, PHD, LCSW, CEM

Social Worker, Clinical in Holden, Massachusetts

NPI Number1184337321
Practice location
800 Main St, Holden, MA 01520-1838
Fax
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Last updated
January 3, 2023

Jennifer Carlson is a Social Worker, Clinical based in Holden, MA. Jennifer Carlson practices in Holden, MA and has the professional credentials of PHD, LCSW, CEM. The NPI Number for Jennifer Carlson is 1184337321 and holds a License No. 226595 (MA). The current practice location address for Jennifer Carlson is 800 Main St, Holden, MA 01520-1838 and can be reached out via phone at 508-797-7110.

Provider Profile Details

NPI Number
1184337321
Provider Name
Jennifer Carlson
Credential
PHD, LCSW, CEM
Provider Entity Type
Individual
Gender
Female
Address
800 Main St, Holden, MA 01520-1838
Phone Number
508-797-7110
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 3, 2023
Last Update Date
January 3, 2023
Certification Date
January 3, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
800 Main St
Holden, MA 01520-1838
City
Holden
Zip
01520-1838
Phone Number
508-797-7110
Holden, MA 01520Get directions →

Provider Business Mailing Address Details

Address
58 N Main St Unit 732
Charlton, MA 01507-5537
City
Charlton
State
MA
Zip
01507-5537
Phone Number
413-388-0475

License Information

License Number
226595
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · 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 Dr. Jennifer Carlson, PHD, LCSW, CEM?

The NPI number of Dr. Jennifer Carlson, PHD, LCSW, CEM is 1184337321. It was assigned on January 3, 2023 and is currently active in the NPPES registry.

What is the specialty of Dr. Jennifer Carlson, PHD, LCSW, CEM?

Dr. Jennifer Carlson, PHD, LCSW, CEM is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 226595.

Where does Dr. Jennifer Carlson, PHD, LCSW, CEM practice?

The practice location is 800 Main St, Holden, MA 01520-1838. The office can be reached at 508-797-7110 (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 1184337321 directly on the NPPES registry website.

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