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.

NPI 1174130991Rochester, NYClinical Social Worker

Source: public NPPES record, last updated September 25, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

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)

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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)