| Carrie Kolb, Lcsw, Llc | |
|
263 Main St Old Saybrook CT 06475-2326 | |
| (617) 571-7979 | |
| Not Available |
| Full Name | Carrie Kolb, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 263 Main St, Old Saybrook, Connecticut |
| Authorized Official Name and Position | Carrie Kolb (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6175717979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie Kolb, Lcsw, Llc 263 Main St Ste 304-306 Old Saybrook CT 06475-2326 Ph: () - | Carrie Kolb, Lcsw, Llc 263 Main St Old Saybrook CT 06475-2326 Ph: (617) 571-7979 |
| NPI Number | 1194208603 |
|---|---|
| Provider Enumeration Date | 09/11/2018 |
| Last Update Date | 03/25/2019 |
| Medicare PECOS PAC ID | 7517208275 |
|---|---|
| Medicare Enrollment ID | O20190405000250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194208603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carrie Kolb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649530460 PECOS PAC ID: 3971755315 Enrollment ID: I20121210000379 |
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