Carolyn Carlson, MED, LADC is a
Counselor - Addiction (substance Use Disorder) based in Sharon, Connecticut. Carolyn Carlson is licensed to practice in Connecticut (license number 000052) and her current practice location is
149 W Cornwall Rd, Sharon, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 672-6689.
NPI number for Carolyn Carlson is 1568521235 and her current mailing address is 38 Old Ridgebury Rd, Danbury, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568521235.
Healthcare Provider's Profile
| Full Name | Carolyn Carlson |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 149 W Cornwall Rd, Sharon, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568521235
- Provider Enumeration Date: 12/08/2006
- Last Update Date: 01/10/2012
Medical Identifiers
Medical identifiers for Carolyn Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568521235 | NPI | - | NPPES |
| 004257516 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000052 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carolyn Carlson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Carolyn Carlson, MED, LADC
38 Old Ridgebury Rd,
Danbury, CT 06810-5128
Ph: (203) 792-4515 | Carolyn Carlson, MED, LADC
149 W Cornwall Rd,
Sharon, CT 06069-2105
Ph: (860) 672-6689 |
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