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NPI Code Detail

MEDICARE: MS. CAROLYN JEAN WASHINGTON LMSW

MEDICARE: MS. CAROLYN JEAN WASHINGTON LMSW
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
1104100000XSocial Worker33981TX

General Provider Information

NPI Number : 1548455009
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROLYN JEAN WASHINGTON LMSW
Provider Business Mailing Address
First Line : 4500 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-7167
Country : US
Telephone Number : 214-857-1307
Fax Number : 214-857-1123
Provider Business Practice Location Address
First Line : 4500 S LANCASTER RD # 116A
Second Line :
City : DALLAS
State : TX
Zip : 75216-7167
Country : US
Telephone Number : 214-857-1307
Fax Number : 214-857-1123
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2007
Last Update Date : 04/19/2026

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Directions to “ MS. CAROLYN JEAN WASHINGTON LMSW” Practice Location

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