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NPI Code Detail

MEDICARE: CARRIE LYNNE CARLTON LCSW

MEDICARE: CARRIE LYNNE CARLTON 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 WorkerSW13714FL

General Provider Information

NPI Number : 1972047041
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE LYNNE CARLTON LCSW
Provider Business Mailing Address
First Line : 1700 N DIXIE HWY
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-6504
Country : US
Telephone Number : 561-503-2043
Fax Number : 561-865-5896
Provider Business Practice Location Address
First Line : 1700 N DIXIE HWY
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-6504
Country : US
Telephone Number : 561-503-2043
Fax Number : 561-865-5896
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2016
Last Update Date : 06/02/2020

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