Carolyn Davis, LCSW
Individual provider Active NPI Clinical Social Worker · Prospect, CT
NPI 1457688657 · NPPES record last updated Nov 9, 2009
Key facts
- NPI
- 1457688657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 003975 (CT)
- Practice address
- 4 Summit Rd
C
Prospect, CT 06712-1485 - Phone
- (203) 758-0755
- Fax
- (203) 758-0754
- NPI assigned
- Nov 9, 2009
- 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 |
|---|---|---|---|
| 003975 | CT | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 003975 | CT | Yes |
Addresses
Primary practice location
4 Summit Rd
C
Prospect, CT 06712-1485
Mailing address
4 Summit Rd
C
Prospect, CT 06712-1485
Phone (203) 758-0755
Other providers in Prospect, CT
- Currents Aligned Counseling Services, PLLC
- Kathryn Cyr
- Michael A D'Aquila
- Jeffrey Paul Dalessandro
- Dredhza Dauti
- Deborah S Grove LMFT LLC
- Carol Denomme
- Amy Destefano
- Kim Patrick Devaney
- Michael Devine
All providers in Prospect, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2009. 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.