| Charles W Carroll Psychotherapist Pc | |
|
4334 Acushnet Ave New Bedford MA 02745-4614 | |
| (508) 995-6864 | |
| Not Available |
| Full Name | Charles W Carroll Psychotherapist Pc |
|---|---|
| Speciality | Counselor |
| Location | 4334 Acushnet Ave, New Bedford, Massachusetts |
| Authorized Official Name and Position | Charles Carroll (OWNER) |
| Authorized Official Contact | 5089956864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles W Carroll Psychotherapist Pc 6 Westland St Acushnet MA 02743-2686 Ph: (508) 995-6864 | Charles W Carroll Psychotherapist Pc 4334 Acushnet Ave New Bedford MA 02745-4614 Ph: (508) 995-6864 |
| NPI Number | 1174220511 |
|---|---|
| Provider Enumeration Date | 02/15/2023 |
| Last Update Date | 02/15/2023 |
| Certification Date | 02/15/2023 |
| Medicare PECOS PAC ID | 4587023023 |
|---|---|
| Medicare Enrollment ID | O20230630002864 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174220511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Charles W Carroll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518335850 PECOS PAC ID: 6507134210 Enrollment ID: I20170622000120 |
Child And Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Purchase St, New Bedford, MA 02740 Phone: 508-990-0894 | |
Paula Obrien, L.m.h.c., P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Spring St, Suite 306, New Bedford, MA 02740 Phone: 508-993-1125 Fax: 508-993-1115 | |
Sol Pittenger Psyd Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 888 Purchase St, #303, New Bedford, MA 02740 Phone: 508-991-7010 Fax: 508-991-7010 | |
Whaling City Psychological Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 County St, New Bedford, MA 02740 Phone: 774-644-2518 Fax: 508-273-7600 | |
Wevolve Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 96 Worcester St, New Bedford, MA 02745 Phone: 617-869-7162 | |
Jonathan H Schwartz Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 N 2nd St, New Bedford, MA 02740 Phone: 508-997-6091 | |
Aco Signature Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 651 Orchard St, Suite 206, New Bedford, MA 02744 Phone: 774-992-7058 Fax: 774-992-7061 |