Caroline Aller, LICSW

Individual provider Active NPI Clinical Social Worker · Amherst, MA

NPI 1003014580 · NPPES record last updated Oct 7, 2011

Key facts

NPI
1003014580
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
116209 (MA)
Practice address
24 S Prospect St
Amherst, MA 01002-3802
Phone
(413) 835-1558
Fax
(866) 240-7441
NPI assigned
Jul 6, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
116209MAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Clinical Social Worker 1041C0700X 116209 MA Yes

Addresses

Primary practice location

24 S Prospect St
Amherst, MA 01002-3802

Mailing address

24 S Prospect St
Amherst, MA 01002-3802
Phone (413) 835-1558

Other providers in Amherst, MA

All providers in Amherst, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.