Individual
MS. AMY B CAREY-DICARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
115542
MA
104100000X
Social Worker
Primary
LC11412
ME
1041C0700X
Clinical Social Worker
115542
MA
1041C0700X
Clinical Social Worker
LC11412
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
432940200
MAINECARE/MEDICAID
ME
01
—
483127
VALUE OPTIONS
—
01
—
P08110
BCBS
MA
Enumeration date
02/17/2006
Last updated
04/30/2024
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