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NPI Code Detail

MEDICARE: MR. JOHN E CARLSON LCSW-R

MEDICARE:  MR. JOHN E CARLSON  LCSW-R
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 WorkerR075837NY

General Provider Information

NPI Number : 1992871594
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN E CARLSON LCSW-R
Provider Business Mailing Address
First Line : 465 E 7TH ST APT 3B
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-4844
Country : US
Telephone Number : 917-699-0785
Fax Number : 315-292-7735
Provider Business Practice Location Address
First Line : 26 COURT ST STE 600
Second Line :
City : BROOKLYN
State : NY
Zip : 11242-1106
Country : US
Telephone Number : 917-699-0785
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2006
Last Update Date : 10/13/2023

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Directions to “ MR. JOHN E CARLSON LCSW-R” Practice Location

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