Active NPIIndividual provider

David Carroll, LICSW

Social Worker, Clinical in Methuen, Massachusetts

NPI Number1205140134
Practice location
100 A Haverhill Street, St. Ann'S Home, Methuen, MA 01844
Fax
978-688-4932
Last updated
August 3, 2010

David Carroll is a Social Worker, Clinical based in Methuen, MA. David Carroll practices in Methuen, MA and has the professional credentials of LICSW. The NPI Number for David Carroll is 1205140134 and holds a License No. 1019394 (MA). The current practice location address for David Carroll is 100 A Haverhill Street, St. Ann'S Home, Methuen, MA 01844 and can be reached out via phone at 978-682-5276 and via fax at 978-688-4932.

Provider Profile Details

NPI Number
1205140134
Provider Name
David Carroll
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
100 A Haverhill Street, St. Ann'S Home, Methuen, MA 01844
Phone Number
978-682-5276
Fax Number
978-688-4932
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 3, 2010
Last Update Date
August 3, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 A Haverhill Street
St. Ann'S Home
Methuen, MA 01844
Zip
01844
Phone Number
978-682-5276
Fax Number
978-688-4932
Methuen, MA 01844Get directions →

Provider Business Mailing Address Details

Address
100 A Haverhill Street
Methuen, MA 01844
City
Methuen
State
MA
Zip
01844
Phone Number
978-682-5276
Fax Number
978-688-4932

License Information

License Number
1019394
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 David Carroll, LICSW?

The NPI number of David Carroll, LICSW is 1205140134. It was assigned on August 3, 2010 and is currently active in the NPPES registry.

What is the specialty of David Carroll, LICSW?

David Carroll, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1019394.

Where does David Carroll, LICSW practice?

The practice location is 100 A Haverhill Street, St. Ann'S Home, Methuen, MA 01844. The office can be reached at 978-682-5276 (phone) or 978-688-4932 (fax).

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 1205140134 directly on the NPPES registry website.

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