National Provider Identifier
Carolyn Kathleen Carl, LCSW-R
Carolyn Kathleen Carl, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 865-1550.
Profile Overview
- NPI
- 1174130991
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- September 25, 2020
- Last Updated
- September 25, 2020
Practice Location
- 1099 Jay St Bldg P
- Rochester, NY 14611-1164
Phone: (585) 865-1550
Mailing Address
- 3300 Dewey Ave
- Rochester, NY 14616-3741
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1174130991
- Entity Type
- Individual
- Last Name
- Carl
- First Name
- Carolyn
- Middle Name
- Kathleen
- Credential
- LCSW-R
- Mailing Street Address
- 3300 Dewey Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14616-3741
- Mailing Country
- US
- Mailing Phone
- (585) 865-1550
- Mailing Fax
- (585) 865-5219
- Practice Street Address
- 1099 Jay St Bldg P
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-1164
- Practice Country
- US
- Practice Phone
- (585) 865-1550
- Enumeration Date
- September 25, 2020
- Last Updated
- September 25, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 25, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)