Healthcare Provider Details

I. General information

NPI: 1942530316
Provider Name (Legal Business Name): CAROL A CARSTENS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2010
Last Update Date: 01/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 HIGH ST
WORTHINGTON OH
43085-4026
US

IV. Provider business mailing address

255 E TULANE RD
COLUMBUS OH
43202-2223
US

V. Phone/Fax

Practice location:
  • Phone: 614-310-0902
  • Fax: 614-310-0905
Mailing address:
  • Phone: 614-261-1161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.0008498-S
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: