Carroll, John William

Carroll, John William is an sole proprietor health care provider with primary practice located at 2900 Veterans Way , Viera FL 32940-8007. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Carroll, John William can be contacted via phone (321) 637-3788.

Contact Information

Primary practice address
2900 Veterans Way Viera FL 32940-8007
Phone: (321) 637-3788
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW4695 Florida

Profile Details

NPI number 1154514958
LBN Legal business name Carroll, John William
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2007
Last updated Aug 24th, 2007 - about 17 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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