Individual
MS. CAROLYN COLWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
256 MAIN ST, SUITE 1102, NORTHPORT, NY 11768-1733
(631) 754-6822
(631) 754-6634
Mailing address
256 MAIN ST, SUITE 1102, NORTHPORT, NY 11768-1733
(631) 754-6822
(631) 754-6634
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R-049907-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077059
VALUE OPTIONS
NY
01
—
198707
MHN
NY
01
—
3800205
GHI
NY
01
—
P888865
OXFORD
NY
Enumeration date
01/12/2007
Last updated
01/12/2024
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