Mary Karen Caraway, LCSW

Individual provider Active NPI Clinical Social Worker · Libby, MT

NPI 1104016245 · NPPES record last updated Jul 25, 2007

Key facts

NPI
1104016245
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
592 (MT)
Practice address
101 Ski Rd
Libby, MT 59923-2843
Phone
(406) 293-2763
Fax
(406) 494-1724
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
No

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
592MTMDOptometrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 592 MT Yes

Addresses

Primary practice location

101 Ski Rd
Libby, MT 59923-2843

Mailing address

1011 Main Ave
Libby, MT 59923-1821
Phone (406) 293-2763

Other identifiers

IdentifierTypeStateIssuer
592OtherMTSTATE OF MONTANA LICENSE

Other providers in Libby, MT

All providers in Libby, MT · Clinical Social Worker in Montana

Sources for this page

Verify at the official NPI Registry.