Tipton, Carolyn W.

Tipton, Carolyn W. is an individual health care provider with primary practice located at 6560 Poplar Ave Jewish Family Service, Memphis TN 38138-3656. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Registered Nurse. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Tipton, Carolyn W. can be contacted via phone (901) 767-8511.

Contact Information

Primary practice address
6560 Poplar Ave Jewish Family Service Memphis TN 38138-3656
Phone: (901) 767-8511
Fax: (901) 763-2348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSW0000001068 Tennessee
Nursing Service Providers / Registered Nurse 163W00000X RN0000025027 Tennessee

Profile Details

NPI number 1396797247
LBN Legal business name Tipton, Carolyn W.
Credentials LCSW, RN, RPT-S
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396797247 NPPES
Tennessee Other 4085965 TN BLUE CROSS/BLUE SHIELD

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