Active NPIIndividual provider

Genia Carroll, LICSW

Social Worker, Clinical in Andover, Massachusetts

NPI Number1790503142
Practice location
2 Elm Sq Ste 317, Andover, MA 01810-3668
Fax
978-268-5851
Last updated
October 4, 2024

Genia Carroll is a Social Worker, Clinical based in Andover, MA. Genia Carroll practices in Andover, MA and has the professional credentials of LICSW. The NPI Number for Genia Carroll is 1790503142 and holds a License No. 128559 (MA). The current practice location address for Genia Carroll is 2 Elm Sq Ste 317, Andover, MA 01810-3668 and can be reached out via phone at 978-267-7511 and via fax at 978-268-5851.

Provider Profile Details

NPI Number
1790503142
Provider Name
Genia Carroll
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
2 Elm Sq Ste 317, Andover, MA 01810-3668
Phone Number
978-267-7511
Fax Number
978-268-5851
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 2, 2024
Last Update Date
October 4, 2024
Certification Date
October 4, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Elm Sq Ste 317
Andover, MA 01810-3668
Zip
01810-3668
Phone Number
978-267-7511
Fax Number
978-268-5851
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
2 Elm Sq Ste 317
Andover, MA 01810-3668
City
Andover
State
MA
Zip
01810-3668
Phone Number
978-267-7511
Fax Number
978-268-5851

License Information

License Number
128559
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 Genia Carroll, LICSW?

The NPI number of Genia Carroll, LICSW is 1790503142. It was assigned on October 2, 2024 and is currently active in the NPPES registry.

What is the specialty of Genia Carroll, LICSW?

Genia Carroll, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 128559.

Where does Genia Carroll, LICSW practice?

The practice location is 2 Elm Sq Ste 317, Andover, MA 01810-3668. The office can be reached at 978-267-7511 (phone) or 978-268-5851 (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 1790503142 directly on the NPPES registry website.

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