Active NPIIndividual provider

Keryth E Cargill, LICSW

Social Worker, Clinical in West Brookfield, Massachusetts

NPI Number1720438856
Practice location
62 Ware St, West Brookfield, MA 01585-3136
Fax
508-867-3555
Last updated
June 20, 2016

Keryth Evalyn Cargill is a Social Worker, Clinical based in West Brookfield, MA. Keryth Evalyn Cargill practices in West Brookfield, MA and has the professional credentials of LICSW. The NPI Number for Keryth Evalyn Cargill is 1720438856 and holds a License No. 116399 (MA). The current practice location address for Keryth Evalyn Cargill is 62 Ware St, West Brookfield, MA 01585-3136 and can be reached out via phone at 508-867-4491 and via fax at 508-867-3555.

Provider Profile Details

NPI Number
1720438856
Provider Name
Keryth Evalyn Cargill
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
62 Ware St, West Brookfield, MA 01585-3136
Phone Number
508-867-4491
Fax Number
508-867-3555
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
June 20, 2016
Last Update Date
June 20, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
62 Ware St
West Brookfield, MA 01585-3136
Zip
01585-3136
Phone Number
508-867-4491
Fax Number
508-867-3555
West Brookfield, MA 01585Get directions →

Provider Business Mailing Address Details

Address
62 Ware St
P. O. Box 1125
West Brookfield, MA 01585-3136
City
West Brookfield
State
MA
Zip
01585-3136
Phone Number
508-867-4491
Fax Number
508-867-3555

License Information

License Number
116399
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 Keryth E Cargill, LICSW?

The NPI number of Keryth E Cargill, LICSW is 1720438856. It was assigned on June 20, 2016 and is currently active in the NPPES registry.

What is the specialty of Keryth E Cargill, LICSW?

Keryth E Cargill, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 116399.

Where does Keryth E Cargill, LICSW practice?

The practice location is 62 Ware St, West Brookfield, MA 01585-3136. The office can be reached at 508-867-4491 (phone) or 508-867-3555 (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 1720438856 directly on the NPPES registry website.

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