Individual
MS. CAROL J EDELSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
16 VERNON STREET, FLR 3, NORTHHAMPTON, MA 01060
(413) 584-7080
Mailing address
16 VERNON STREET, FLR 3, NORTHHAMPTON, MA 01060
(413) 584-7080
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
106770
MA
1041C0700X
Clinical Social Worker
Primary
LICSW10660
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1892053
MASS HEALTH
MA
01
—
P04318
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/27/2007
Last updated
07/15/2008
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