Individual
CAROLYN D WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
800 OHIO AVE, CLARKSDALE, MS 38614-7200
(662) 624-2504
(662) 627-3629
Mailing address
PO BOX 1216, CLARKSDALE, MS 38614-1216
(662) 624-4292
(662) 624-4354
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C6051
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08101973
—
MS
Enumeration date
05/02/2019
Last updated
05/11/2026
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