Active NPIIndividual providerSole proprietor

Mrs. Carolyn Mirisola, LICSW

Social Worker, Clinical in Londonderry, New Hampshire

NPI Number1992489637
Practice location
2 Blueberry Ln, Londonderry, NH 03053-3640
Fax
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Last updated
June 13, 2023

Carolyn Mirisola is a Social Worker, Clinical based in Londonderry, NH. Carolyn Mirisola practices in Londonderry, NH and has the professional credentials of LICSW. The NPI Number for Carolyn Mirisola is 1992489637 and holds a License No. 126361 (MA). The current practice location address for Carolyn Mirisola is 2 Blueberry Ln, Londonderry, NH 03053-3640 and can be reached out via phone at 781-572-1687.

Provider Profile Details

NPI Number
1992489637
Provider Name
Carolyn Mirisola
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
2 Blueberry Ln, Londonderry, NH 03053-3640
Phone Number
781-572-1687
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 13, 2023
Last Update Date
June 13, 2023
Certification Date
June 13, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Blueberry Ln
Londonderry, NH 03053-3640
Zip
03053-3640
Phone Number
781-572-1687
Londonderry, NH 03053Get directions →

Provider Business Mailing Address Details

Address
2 Blueberry Ln
Londonderry, NH 03053-3640
City
Londonderry
State
NH
Zip
03053-3640
Phone Number
781-572-1687

License Information

License Number
126361
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 Mrs. Carolyn Mirisola, LICSW?

The NPI number of Mrs. Carolyn Mirisola, LICSW is 1992489637. It was assigned on June 13, 2023 and is currently active in the NPPES registry.

What is the specialty of Mrs. Carolyn Mirisola, LICSW?

Mrs. Carolyn Mirisola, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 126361.

Where does Mrs. Carolyn Mirisola, LICSW practice?

The practice location is 2 Blueberry Ln, Londonderry, NH 03053-3640. The office can be reached at 781-572-1687 (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 1992489637 directly on the NPPES registry website.

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