Carroll, Beatrice Susan

Carroll, Beatrice Susan is an individual health care provider with primary practice located at 11513 W Fairview Ave Ste 105 , Boise ID 83713-7887. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Carroll, Beatrice Susan can be contacted via phone (208) 908-7882.

Contact Information

Primary practice address
11513 W Fairview Ave Ste 105 Boise ID 83713-7887
Phone: (208) 908-7882
Fax: (208) 908-7883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW 1159 Idaho

Profile Details

NPI number 1881730133
LBN Legal business name Carroll, Beatrice Susan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated May 17th, 2023 - about 2 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.

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