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NPI Code Detail

MEDICARE: CAROL J CARTER LCSW

MEDICARE: CAROL J CARTER LCSW
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 WorkerSW6872FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417052853
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL J CARTER LCSW
Provider Business Mailing Address
First Line : 3501 DEL PRADO BLVD S STE 303
Second Line :
City : CAPE CORAL
State : FL
Zip : 33904-7222
Country : US
Telephone Number : 239-317-0265
Fax Number : 239-673-7681
Provider Business Practice Location Address
First Line : 3501 DEL PRADO BLVD S STE 303
Second Line :
City : CAPE CORAL
State : FL
Zip : 33904-7222
Country : US
Telephone Number : 239-317-0265
Fax Number : 239-673-7681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 01/31/2024

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Directions to “ CAROL J CARTER LCSW” Practice Location

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