Active NPIIndividual provider

Carolyn Carlson, MED, LADC

Counselor, Addiction (Substance Use Disorder) in Sharon, Connecticut

NPI Number1568521235
Practice location
149 W Cornwall RD, Sharon, CT 06069-2105
Fax
860-672-3021
Last updated
January 10, 2012

Carolyn Carlson is a Counselor, Addiction (Substance Use Disorder) based in Sharon, CT. Carolyn Carlson practices in Sharon, CT and has the professional credentials of MED, LADC. The NPI Number for Carolyn Carlson is 1568521235 and holds a License No. 000052 (CT). The current practice location address for Carolyn Carlson is 149 W Cornwall RD, Sharon, CT 06069-2105 and can be reached out via phone at 860-672-6689 and via fax at 860-672-3021.

Provider Profile Details

NPI Number
1568521235
Provider Name
Carolyn Carlson
Credential
MED, LADC
Provider Entity Type
Individual
Gender
Female
Address
149 W Cornwall RD, Sharon, CT 06069-2105
Phone Number
860-672-6689
Fax Number
860-672-3021
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
December 8, 2006
Last Update Date
January 10, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
149 W Cornwall RD
Sharon, CT 06069-2105
City
Sharon
Zip
06069-2105
Phone Number
860-672-6689
Fax Number
860-672-3021
Sharon, CT 06069Get directions →

Provider Business Mailing Address Details

Address
38 Old Ridgebury RD
Danbury, CT 06810-5128
City
Danbury
State
CT
Zip
06810-5128
Phone Number
203-792-4515
Fax Number
203-748-2604

License Information

License Number
000052
License State
CT
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Carlson, MED, LADC?

The NPI number of Carolyn Carlson, MED, LADC is 1568521235. It was assigned on December 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Carolyn Carlson, MED, LADC?

Carolyn Carlson, MED, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 000052.

Where does Carolyn Carlson, MED, LADC practice?

The practice location is 149 W Cornwall RD, Sharon, CT 06069-2105. The office can be reached at 860-672-6689 (phone) or 860-672-3021 (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 1568521235 directly on the NPPES registry website.

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