Colwell, Carolyn
Colwell, Carolyn is an sole proprietor health care provider with primary practice located at 256 Main St Suite 1102, Northport NY 11768-1733. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Colwell, Carolyn can be contacted via phone (631) 754-6822.Contact Information
Primary practice address
256 Main St Suite 1102
Northport NY 11768-1733
Phone: (631) 754-6822
Fax: (631) 754-6634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R-049907-1 | New York |
Profile Details
| NPI number | 1548310113 |
|---|---|
| LBN Legal business name | Colwell, Carolyn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jan 12th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548310113 | NPPES |
| New York | Other | 3800205 | GHI |
| New York | Other | P888865 | GHI |
| New York | Other | 198707 | GHI |
| New York | Other | 077059 | GHI |
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