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NPI Code Detail

MEDICARE: VIANA LYNNE CARROLL LSW

MEDICARE:   VIANA LYNNE CARROLL  LSW
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 WorkerS-31911OH
2101YA0400XAddiction (Substance Use Disorder) CounselorLICDC.101167OH

General Provider Information

NPI Number : 1902980824
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIANA LYNNE CARROLL LSW
Provider Business Mailing Address
First Line : 3103 DIXIE HWY
Second Line :
City : HAMILTON
State : OH
Zip : 45015-1653
Country : US
Telephone Number : 513-892-4673
Fax Number : 513-737-1107
Provider Business Practice Location Address
First Line : 36 N DETROIT ST
Second Line :
City : XENIA
State : OH
Zip : 45385-2909
Country : US
Telephone Number : 513-610-4673
Fax Number : 513-737-1107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 10/30/2025

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Directions to “ VIANA LYNNE CARROLL LSW” Practice Location

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