MEDICARE: MS. CAROL EHLER 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
1	1041C0700X	Clinical Social Worker	078626	NY
2	104100000X	Social Worker	078626-1	NY

General Provider Information

NPI Number	:	1972650810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAROL EHLER LCSW

Provider Business Mailing Address
First Line	:	1075 CENTRAL PARK AVE STE 305
Second Line	:
City	:	SCARSDALE
State	:	NY
Zip	:	10583-3244
Country	:	US
Telephone Number	:	914-874-6845
Fax Number	:

Provider Business Practice Location Address
First Line	:	1075 CENTRAL PARK AVE STE 305
Second Line	:
City	:	SCARSDALE
State	:	NY
Zip	:	10583-3244
Country	:	US
Telephone Number	:	914-874-6845
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	02/26/2023

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