Active NPIIndividual providerSole proprietor

Carolyn Davis, LCSW

Social Worker, Clinical in Prospect, Connecticut

NPI Number1457688657
Practice location
4 Summit RD, C, Prospect, CT 06712-1485
Fax
203-758-0754
Last updated
November 9, 2009

Carolyn Davis is a Social Worker, Clinical based in Prospect, CT. Carolyn Davis practices in Prospect, CT and has the professional credentials of LCSW. The NPI Number for Carolyn Davis is 1457688657 and holds a License No. 003975 (CT). The current practice location address for Carolyn Davis is 4 Summit RD, C, Prospect, CT 06712-1485 and can be reached out via phone at 203-758-0755 and via fax at 203-758-0754.

Provider Profile Details

NPI Number
1457688657
Provider Name
Carolyn Davis
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
4 Summit RD, C, Prospect, CT 06712-1485
Phone Number
203-758-0755
Fax Number
203-758-0754
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 9, 2009
Last Update Date
November 9, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Summit RD
C
Prospect, CT 06712-1485
Zip
06712-1485
Phone Number
203-758-0755
Fax Number
203-758-0754
Prospect, CT 06712Get directions →

Provider Business Mailing Address Details

Address
4 Summit RD
C
Prospect, CT 06712-1485
City
Prospect
State
CT
Zip
06712-1485
Phone Number
203-758-0755
Fax Number
203-758-0754

License Information

License Number
003975
License State
CT
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 Carolyn Davis, LCSW?

The NPI number of Carolyn Davis, LCSW is 1457688657. It was assigned on November 9, 2009 and is currently active in the NPPES registry.

What is the specialty of Carolyn Davis, LCSW?

Carolyn Davis, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 003975.

Where does Carolyn Davis, LCSW practice?

The practice location is 4 Summit RD, C, Prospect, CT 06712-1485. The office can be reached at 203-758-0755 (phone) or 203-758-0754 (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 1457688657 directly on the NPPES registry website.

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