Christopher Carlson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

121254 Issued in MA

Practice address

152 Lynnway Ste 2C
Lynn, MA 01902

Phone

(781) 309-7725

NPI assigned

Sep 17, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Christopher Euber-Carlson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1093964892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W ROCHAMBAULT ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018321964",
            "telephone_number": "617-959-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 LYNNWAY STE 2C",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01902",
            "telephone_number": "781-309-7725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 River St",
            "address_purpose": "LOCATION",
            "city": "Mattapan",
            "state": "MA",
            "postal_code": "021262729",
            "country_code": "US",
            "telephone_number": "617-534-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "CHRISTOPHER",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "EUBER-CARLSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cassandra Cardenas, LCSW
• Barbara Ann Carey-Webster
• Mitchell Robert Carey
• Caring Home Health Services LLC
• Alison Carlo
• Angela Gola Carnes, NP
• Nicole Kayla Carney
• Renee Caron
• Sienna Carpenter
• Carla Carrillo, RN

• Clinical Social Worker in Lynn, MA
• Providers in Lynn, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.