Carla Maria Correa, LICSW
Individual provider Active NPI Clinical Social Worker · Boxborough, MA
NPI 1932393790 · NPPES record last updated Sep 4, 2007
Key facts
- NPI
- 1932393790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 114176 (MA)
- Practice address
- 7 Osceola Dr
Boxborough, MA 01719-1210 - Phone
- (978) 621-1197
- NPI assigned
- Sep 4, 2007
- 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 |
|---|---|---|---|
| 114176 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 114176 | MA | Yes |
Addresses
Primary practice location
7 Osceola Dr
Boxborough, MA 01719-1210
Mailing address
7 Osceola Dr
Boxborough, MA 01719-1210
Phone (978) 621-1197
Other providers in Boxborough, MA
- Mark Joseph Besso
- Regine Buckley
- Karin Castro
- Heavensia Chellapandian
- Anna Clarke
- Richard M Cowett
- Michele Didio
- Mitchell Quinn Doherty
- Sarah Dolaty
- Elite Nursing Network, LLC
All providers in Boxborough, 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 Sep 4, 2007. 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.