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NPI Code Detail

MEDICARE: MS. CAROLYN YVONNE ARTHUR LCSW

MEDICARE: MS. CAROLYN YVONNE ARTHUR LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker0904001453VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1085676OTHERVASENTARA
2110287OTHERVAANTHEM
34945131OTHERVAVIRGINIA PREMIER

General Provider Information

NPI Number : 1033250378
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROLYN YVONNE ARTHUR LCSW
Provider Business Mailing Address
First Line : 10299 WOODMAN RD
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-4419
Country : US
Telephone Number : 804-727-8500
Fax Number : 804-727-8580
Provider Business Practice Location Address
First Line : 10299 WOODMAN RD
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-4419
Country : US
Telephone Number : 804-727-8500
Fax Number : 804-727-8580
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2007
Last Update Date : 07/08/2007

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