Alyssa Rose Carroll, is a
Social Worker - Clinical based in Providence, Rhode Island. Alyssa Rose Carroll is licensed to practice in Rhode Island (license number ISW03928) and her current practice location is
530 N Main St, Providence, Rhode Island. She can be reached at her office (for appointments etc.) via phone at
(401) 432-7523.
NPI number for Alyssa Rose Carroll is 1184242406 and her current mailing address is 530 N Main St, Providence, Rhode Island. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184242406.
Healthcare Provider's Profile
| Full Name | Alyssa Rose Carroll |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 530 N Main St, Providence, Rhode Island |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1184242406
- Provider Enumeration Date: 07/13/2020
- Last Update Date: 06/11/2024
Medical Identifiers
Medical identifiers for Alyssa Rose Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184242406 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (Rhode Island) | Secondary |
| 104100000X | Social Worker | CSW02458 (Rhode Island) | Secondary |
| 1041C0700X | Social Worker - Clinical | ISW03928 (Rhode Island) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alyssa Rose Carroll is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alyssa Rose Carroll,
530 N Main St,
Providence, RI 02904-5762
Ph: (401) 432-7523 | Alyssa Rose Carroll,
530 N Main St,
Providence, RI 02904-5762
Ph: (401) 432-7523 |
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