Carroll, Angela Mae
Carroll, Angela Mae is an individual health care provider with primary practice located at 1165 Union St Ne Suite 200, Salem OR 97301-4693. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Carroll, Angela Mae can be contacted via phone (503) 399-2424.Contact Information
Primary practice address
1165 Union St Ne Suite 200
Salem OR 97301-4693
Phone: (503) 399-2424
Fax: (503) 375-7429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L4312 | Oregon |
Profile Details
| NPI number | 1184684490 |
|---|---|
| LBN Legal business name | Carroll, Angela Mae |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Dec 19th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184684490 | NPPES |
| Oregon | Other | L4312 | OREGON LICENSE NUMBER |
| Oregon | MEDICAID | 500642794 | OREGON LICENSE NUMBER |
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