Individual
CAROL A SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, PIP
Contact information
Practice address
195 INDUSTRIAL PARKWAY, NVRH CORNER MEDICAL, LYNDONVILLE, VT 05851
(802) 748-9501
(802) 748-3420
Mailing address
P.O. BOX 83, LYNDONVILLE, VT 05851
(802) 748-9501
(802) 748-3420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0001231
VT
1041C0700X
Clinical Social Worker
1271C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051538599
BCBS OF ALABAMA NUMBER
AL
01
—
051538836
BCBS FEDERAL NUMBER
AL
01
—
1271C
LCSW
AL
01
—
PIP-401-1271C
PIP LICENSE
AL
Enumeration date
08/02/2005
Last updated
03/27/2014
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