Active NPIIndividual provider

Alexis L Carroll

Social Worker, Clinical in Bridgeport, Connecticut

NPI Number1689346074
Practice location
655 Park Ave, Bridgeport, CT 06604-4634
Fax
—
Last updated
June 7, 2025

Alexis Lynn Carroll is a Social Worker, Clinical based in Bridgeport, CT. Alexis Lynn Carroll practices in Bridgeport, CT. The NPI Number for Alexis Lynn Carroll is 1689346074 and holds a License No. 6017 (CT). The current practice location address for Alexis Lynn Carroll is 655 Park Ave, Bridgeport, CT 06604-4634 and can be reached out via phone at 203-275-0700.

Provider Profile Details

NPI Number
1689346074
Provider Name
Alexis Lynn Carroll
Provider Entity Type
Individual
Gender
Female
Address
655 Park Ave, Bridgeport, CT 06604-4634
Phone Number
203-275-0700
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 4, 2021
Last Update Date
June 7, 2025
Certification Date
June 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
655 Park Ave
Bridgeport, CT 06604-4634
Zip
06604-4634
Phone Number
203-275-0700
Bridgeport, CT 06604Get directions →

Provider Business Mailing Address Details

Address
1565 Byam RD
Cheshire, CT 06410-1004
City
Cheshire
State
CT
Zip
06410-1004
Phone Number
203-592-9826

License Information

License Number (1)
6017
License State (1)
CT
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
13681
License State (2)
CT
Taxonomy (2)
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 Alexis L Carroll?

The NPI number of Alexis L Carroll is 1689346074. It was assigned on October 4, 2021 and is currently active in the NPPES registry.

What is the specialty of Alexis L Carroll?

Alexis L Carroll is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 6017.

Where does Alexis L Carroll practice?

The practice location is 655 Park Ave, Bridgeport, CT 06604-4634. The office can be reached at 203-275-0700 (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 1689346074 directly on the NPPES registry website.

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