Provider Information for 1174397343
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
NEKITA PAULINE CARROLL LCSW
Other Names:Other Name:NEKITA PAULINE CARROLL-HALL LCSWSex: Female
NPI: 1174397343
Last Updated: 2023-11-08
Certification Date: 2023-11-08
Certification Date: 2023-11-08
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1174397343 | ||||||||
| Enumeration Date | 2023-11-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1620 LAUREL AVE BRIDGEPORT, CT 06604-1515 United States Phone: 203-953-9629 | Fax: | ||||||||
| Primary Practice Address | 1620 LAUREL AVE BRIDGEPORT, CT 06604-1515 United States Phone: 203-953-9629 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|