Elizabeth A. Carolin, LCSW
Individual provider Active NPI Clinical Social Worker · Dover Foxcroft, ME
NPI 1992845101 · NPPES record last updated Nov 17, 2008
Key facts
- NPI
- 1992845101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC2059 (ME)
- Practice address
- 572 Bangor Rd.
Dover Foxcroft, ME 04426 - Phone
- (207) 564-2464
- Fax
- (207) 564-2404
- NPI assigned
- Feb 7, 2007
- 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 |
|---|---|---|---|
| LC2059 | ME | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC2059 | ME | Yes |
Addresses
Primary practice location
572 Bangor Rd.
Dover Foxcroft, ME 04426
Mailing address
572 Bangor Rd
Dover Foxcroft, ME 04426-3373
Phone (207) 564-2464
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275600099 | Medicaid | ME |
Other providers in Dover Foxcroft, ME
- Brock Health Inc
- Brock Hilltop LLC
- Brock Pleasant LLC
- Barbara Ann Brooks
- Darcy Burgess
- Stacey L Carpenter
- Kylie Jalene Chadbourne
- Lesley Chambers
- Charlotte White Center
- Charlotte White Center
All providers in Dover Foxcroft, ME · Clinical Social Worker in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2008. 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.