Merrihew, Carol Jane
Merrihew, Carol Jane is an individual health care provider with primary practice located at 2778 State Route 30 , Tupper Lake NY 12986-2519. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Merrihew, Carol Jane can be contacted via phone (518) 359-2636.Contact Information
Primary practice address
2778 State Route 30
Tupper Lake NY 12986-2519
Phone: (518) 359-2636
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R046645 | New York |
Profile Details
| NPI number | 1649480948 |
|---|---|
| LBN Legal business name | Merrihew, Carol Jane |
| Credentials | LCSW-R |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Mar 27th, 2024 - about 6 months 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 | 1649480948 | NPPES |
| New York | MEDICAID | 53602A |
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