Karissa Lynne Carbonneau
Individual provider Active NPI Social Worker · Ware, MA
NPI 1972957348 · NPPES record last updated Apr 21, 2016
Key facts
- NPI
- 1972957348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 78 Main St
Ware, MA 01082-1318 - Phone
- (413) 564-9980
- NPI assigned
- Apr 21, 2016
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
78 Main St
Ware, MA 01082-1318
Mailing address
78 Main St
Ware, MA 01082-1318
Other providers in Ware, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2016. 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.