Opal Lynn Carlson

Individual provider Active NPI Clinical Social Worker · Menominee, MI

NPI 1285914713 · NPPES record last updated Aug 29, 2011

Key facts

NPI
1285914713
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6801093516 (MI)
Practice address
401 10TH Ave
Menominee, MI 49858-3009
Phone
(906) 863-7841
NPI assigned
Aug 29, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Carlson Counseling and Wellness Solutions, PLLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801093516 MI Yes

Addresses

Primary practice location

401 10TH Ave
Menominee, MI 49858-3009

Mailing address

715 Pyle Dr
Kingsford, MI 49802-4456
Phone (906) 774-0522

Other providers in Menominee, MI

All providers in Menominee, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.