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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIMOTHY KEVIN CARROLL, LCSW

Active

TIMOTHY KEVIN CARROLL, LCSW is a Clinical Social Worker healthcare provider located in NORTH WINDHAM, Connecticut. NPI 1841399474 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · NORTH WINDHAM, CT

Registration Details

NPI Number
1841399474
Provider Type
Individual
Gender
Male
NPI Issued
Sep 21, 2006 (19.882521113666 yrs)
Last Updated
Oct 5, 2014
License
003025 (CT)

Practice Information

Address
387 TUCKIE RD
SUITE D
NORTH WINDHAM, CT, 062561355
Browse CT providers · Browse ZIP 06256
Phone
8604234279
Fax
8604234284
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.