Individual
MS. LISA JILL CARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000940
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009542
—
VT
01
—
2044751
CIGNA PROV NUMBER
VT
01
—
59257
BC/BS OF VT PROVIDER NUMB
VT
01
—
698763
MVP PROV NUMBER
VT
Enumeration date
09/28/2006
Last updated
08/09/2012
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