Healthcare Provider Details

I. General information

NPI: 1467535989
Provider Name (Legal Business Name): CAROL L DOOLEY LCSW RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 WASHINGTON ST WILLIAM W BACKUS HOSPITAL
NORWICH CT
06360
US

IV. Provider business mailing address

326 WASHINGTON ST WILLIAM W BACKUS HOSPITAL
NORWICH CT
06360
US

V. Phone/Fax

Practice location:
  • Phone: 860-889-8331
  • Fax:
Mailing address:
  • Phone: 860-889-8331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number002145
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: