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NPI Code Detail

MEDICARE: MR. WAYNE CARRION LCSW

MEDICARE: MR. WAYNE CARRION 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 WorkerR024173-1NY

General Provider Information

NPI Number : 1659466670
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WAYNE CARRION LCSW
Provider Business Mailing Address
First Line : 420 E 23RD ST
Second Line : 6C
City : NEW YORK
State : NY
Zip : 10010-5033
Country : US
Telephone Number : 212-460-9344
Fax Number : 212-260-7037
Provider Business Practice Location Address
First Line : 333 AVENUE X
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-5947
Country : US
Telephone Number : 718-339-5300
Fax Number : 718-339-9082
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 07/24/2025

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