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NPI Code Detail

MEDICARE: COLLEEN CARTER LMSW

MEDICARE: COLLEEN CARTER LMSW
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 Worker21109MD

General Provider Information

NPI Number : 1114613114
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN CARTER LMSW
Provider Business Mailing Address
First Line : 20 W WASHINGTON ST STE 503
Second Line :
City : HAGERSTOWN
State : MD
Zip : 21740-4520
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20 W WASHINGTON ST STE 503
Second Line :
City : HAGERSTOWN
State : MD
Zip : 21740-4520
Country : US
Telephone Number : 240-428-4916
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2023
Last Update Date : 04/12/2023

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Directions to “ COLLEEN CARTER LMSW” Practice Location

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