National Provider Identifier

Gail A Carpenter, LICSW

Gail A Carpenter, LICSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Canandaigua, NY and a listed phone number of (401) 207-1073.

NPI 1962550483Canandaigua, NYClinical Social Worker

Profile Overview

NPI
1962550483
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
January 08, 2007
Last Updated
October 22, 2024

Practice Location

  • 243 Gorham St Apt 1107
  • Canandaigua, NY 14424-1869

Phone: (401) 207-1073

Mailing Address

  • 219 Boulevard
  • Middletown, RI 02842-5407

Specialties

  • Clinical Social Worker (1041C0700X)
  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1962550483
Entity Type
Individual
Last Name
Carpenter
First Name
Gail
Middle Name
A
Name Prefix
Miss
Credential
LICSW
Mailing Street Address
219 Boulevard
Mailing City
Middletown
Mailing State
RI
Mailing ZIP Code
02842-5407
Mailing Country
US
Mailing Phone
(401) 207-1073
Practice Street Address
243 Gorham St Apt 1107
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1869
Practice Country
US
Practice Phone
(401) 207-1073
Enumeration Date
January 08, 2007
Last Updated
October 22, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
October 22, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Clinical Social Worker (1041C0700X)
Other Identifiers
29078-0 (RI, Bluecross-Blueshield), 345114 (RI, Tricare-Mhn), GC58613 (RI), 1062670 (RI, Nhp), 412060 (RI, Blue Chip), 6278124 (RI, Ubh)