Mary Geraldine Carr, LCSW
Individual provider Active NPI Clinical Social Worker · Dickinson, TX
NPI 1528815768 · NPPES record last updated May 6, 2024
Key facts
- NPI
- 1528815768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 68803 (TX)
- Practice address
- 2104 Casa Rio Cir
Dickinson, TX 77539-6725 - Phone
- (409) 392-1059
- NPI assigned
- May 6, 2024
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68803 | TX | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 68803 | TX | Yes |
Addresses
Primary practice location
2104 Casa Rio Cir
Dickinson, TX 77539-6725
Mailing address
2104 Casa Rio Cir
Dickinson, TX 77539-6725
Phone (409) 392-1059
Other providers in Dickinson, TX
- Jennifer L. Caffey
- Alexis Campbell
- Care Dental P.a.
- Desire Carley
- Kristen Nicole Carmeans
- Audrey Brittney Carrisalez
- Maria I. Celis
- John Raymond Chaconas
- Marcella Chambers
- Rachel Chapman
All providers in Dickinson, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2024. 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.