Individual
CARRIE ELIZABETH PISCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
220 BARTON BLVD UNIT C-14, ROCKLEDGE, FL 32955-2742
(321) 241-6800
(321) 241-6890
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
Primary
SW13835
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116641500
—
FL
01
—
SW13835
MEDICAL LICENSE
FL
Enumeration date
01/31/2011
Last updated
01/18/2024
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