Vincent L Carolan, LCSW, LPC is a
Social Worker - Clinical based in Wilkes-barre, Pennsylvania. Vincent L Carolan is licensed to practice in Pennsylvania (license number CW019723) and his current practice location is
67-69 Public Square, Suite 917, Wilkes-barre, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(570) 706-1591.
NPI number for Vincent L Carolan is 1184051617 and his current mailing address is 39 Idlewood Dr, Dallas, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184051617.
Healthcare Provider's Profile
| Full Name | Vincent L Carolan |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 67-69 Public Square, Suite 917, Wilkes-barre, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1184051617
- Provider Enumeration Date: 09/30/2013
- Last Update Date: 09/02/2018
Medical Identifiers
Medical identifiers for Vincent L Carolan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184051617 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | PC007793 (Pennsylvania) | Secondary |
| 1041C0700X | Social Worker - Clinical | CW019723 (Pennsylvania) | 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. Vincent L Carolan 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 |
|---|
Vincent L Carolan, LCSW, LPC
39 Idlewood Dr,
Dallas, PA 18612-9027
Ph: (570) 706-1591 | Vincent L Carolan, LCSW, LPC
67-69 Public Square, Suite 917,
Wilkes-barre, PA 18701
Ph: (570) 706-1591 |
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