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NPI Code Detail

MEDICARE: CAROLINE CRAIG

MEDICARE:   CAROLINE  CRAIG
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 Worker0904020323VA
21041C0700XClinical Social WorkerSW26497FL

General Provider Information

NPI Number : 1982339024
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE CRAIG
Provider Business Mailing Address
First Line : 1552 ROBERTS DR
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-3222
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1552 ROBERTS DR
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-3222
Country : US
Telephone Number : 540-748-7292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2022
Last Update Date : 05/26/2026

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Directions to “ CAROLINE CRAIG ” Practice Location

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