Individual
CAROLYN DEGROAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
18 AMPERSAND DR, PLATTSBURGH, NY 12901-6500
(518) 566-0100
(518) 566-0168
Mailing address
18 AMPERSAND DR, PLATTSBURGH, NY 12901-6500
(518) 566-0100
(518) 566-0168
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00052981
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53193N
MEDICARE
NY
Enumeration date
07/13/2006
Last updated
07/08/2007
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