Moody, Carolyn Maryam
Moody, Carolyn Maryam is an sole proprietor health care provider with primary practice located at 36 Chestnut Ave #5553, South San Francisco CA 94083-8074. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moody, Carolyn Maryam can be contacted via phone (415) 200-4587.Contact Information
Primary practice address
36 Chestnut Ave #5553
South San Francisco CA 94083-8074
Phone: (415) 200-4587
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1093115867 |
|---|---|
| LBN Legal business name | Moody, Carolyn Maryam |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2014 |
| Last updated | Jul 21st, 2020 - about 4 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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