Individual
MS. CAROLYN ANN THORPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LCAC
Contact information
Practice address
210 MORNINGSIDE AVE, GARY, IN 46408-3922
(219) 545-5831
Mailing address
210 MORNINGSIDE AVE, GARY, IN 46408-3922
(219) 545-5831
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000416A
IN
1041C0700X
Clinical Social Worker
Primary
34006764A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700322559
—
IN
Enumeration date
10/04/2016
Last updated
02/08/2023
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