| Rachel Carroll, Lcsw, Pllc | |
|
1818 Mlk Blvd # 105 Chapel Hill NC 27514-7415 | |
| (919) 614-9791 | |
| Not Available |
| Full Name | Rachel Carroll, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1818 Mlk Blvd # 105, Chapel Hill, North Carolina |
| Authorized Official Name and Position | Rachel Frantz Carroll (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 9196149791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Carroll, Lcsw, Pllc 1818 Mlk Blvd # 105 Chapel Hill NC 27514-7415 Ph: (919) 614-9791 | Rachel Carroll, Lcsw, Pllc 1818 Mlk Blvd # 105 Chapel Hill NC 27514-7415 Ph: (919) 614-9791 |
| NPI Number | 1033883939 |
|---|---|
| Provider Enumeration Date | 08/04/2021 |
| Last Update Date | 08/04/2021 |
| Certification Date | 07/01/2021 |
| Medicare PECOS PAC ID | 6901294701 |
|---|---|
| Medicare Enrollment ID | O20211227001250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033883939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rachel F Carroll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912482696 PECOS PAC ID: 2264773050 Enrollment ID: I20190403003122 |
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