Carol Baxter, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CT 000750 Issued in CT

Practice address

2228 Black Rock Turnpike
Suite 311
Fairfield, CT 06825

Phone

(203) 366-2552

NPI assigned

Sep 29, 2006

Sex

Female

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

• Ms. Carol Baxter-Pulice Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228348800000",
    "number": "1124110929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 PEQUOT AVENUE",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "06890",
            "telephone_number": "203-209-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 BLACK ROCK TURNPIKE",
            "address_2": "SUITE 311",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "06825",
            "telephone_number": "203-366-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "CT 000750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "BAXTER-PULICE",
            "prefix": "MS.",
            "credential": "M.S.W.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julie A Barylski, LPTA
• Benson Charles Batchelder, AT
• Amanda Baum-Johnson
• Cynthia Alisa Bautista, PHD, APRN
• Andrew Raymond Baxter
• Figen Ayse Baydur, DMD
• Joel J Beaman, DDS
• Amanda Bean, SLP
• Paula Beaudette, SLP
• Gianfranco Beaumont, MA, MFT 3314

• All providers in Fairfield, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.