Healthcare Provider Details

I. General information

NPI: 1891113221
Provider Name (Legal Business Name): ACCESS CARROLL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2014
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 DISTILLERY RD STE 200
WESTMINSTER MD
21157-5344
US

IV. Provider business mailing address

10 DISTILLERY RD STE 200
WESTMINSTER MD
21157-5344
US

V. Phone/Fax

Practice location:
  • Phone: 410-871-1478
  • Fax: 410-871-3219
Mailing address:
  • Phone: 410-871-1478
  • Fax: 410-871-3219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ROBIN BLACK
Title or Position: BILLING SPECIALIST
Credential:
Phone: 410-871-1478