Carol Elisabeth Bliss
Individual provider Active NPI Clinical Social Worker · Chatham, MA
NPI 1275010068 · NPPES record last updated Jul 24, 2018
Key facts
- NPI
- 1275010068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 119284 (MA)
- Practice address
- 100 George Ryder Rd S
Chatham, MA 02633-1626 - Phone
- (215) 514-6690
- NPI assigned
- Jul 24, 2018
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119284 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 119284 | MA | Yes |
Addresses
Primary practice location
100 George Ryder Rd S
Chatham, MA 02633-1626
Mailing address
100 George Ryder Rd S
Chatham, MA 02633-1626
Phone (215) 514-6690
Other providers in Chatham, MA
- Garland S Alcock
- Ann L Eldridge MD PC
- Deirdre O Arvidson
- Rachel Baum
- Jennifer Ann Boutin
- Sarah Kay Bryce
- Laurie Carpenter
- Chatham Dental Health, LLC
- Coastal Counseling Services LLC
All providers in Chatham, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.