MS. JENNIFER C CARROLL (NPI# 1144404286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144404286 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER C CARROLL |
| Credential | LICSW |
| Practice Address |
129 North Main St Mansfield MA 02048 |
| Practice Telephone | 5082612888 |
| Mailing Telephone | 5082612888 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1024944 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS | P07270 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174143689 | Jennifer Elaine Carroll | Specialist/Technologist | 4314 12th Ave N, St Petersburg, FL 33713-5218 | 2020-04-24 |
| 1134789530 | Jennifer Carroll | Genetic Counselor, MS | 700 Childrens Dr Rm E1b, Columbus, OH 43205-2639 | 2019-06-18 |
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1447697727 | Jennifer Carroll | Specialist/Technologist | 44385 State Route 154, Lisbon, OH 44432-8336 | 2013-05-28 |
| 1689983942 | Jennifer D Carroll | Pharmacist | 10 Centerline Dr, Troy, MO 63379-1393 | 2010-10-04 |
| 1487890067 | Jennifer Carroll | Licensed Practical Nurse | 320 Carnegie Ave, Wenonah, NJ 08090-1410 | 2009-01-02 |
| 1659413573 | Jennifer Deann Carroll | Registered Nurse | 1 Mile N of Pinon On Navajo Rte 41, Pinon, AZ 86510 | 2007-02-14 |
| 1831263128 | Jennifer M Carroll | Counselor | 2667 Highway 145, Saltillo, MS 38866-9771 | 2006-11-20 |
| 1134299530 | Jennifer Carroll | Massage Therapist | 121 Butternut St Apt A, Middletown, CT 06457-3020 | 2006-11-09 |
| 1962441790 | Jennifer Elizabeth Carroll | Physical Therapist | 2625 Plymouth Rd, Ann Arbor, MI 48105-2468 | 2006-06-06 |
| Street Address |
129 NORTH MAIN ST |
| City | MANSFIELD |
| State | MA |
| Zip Code | 02048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881711703 | Lisa Ericca Doman | Counselor | 129 North Main St, Rm# 304, Mansfield, MA 02048 | 2007-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293181 | Taylor Dabney | Specialist/Technologist | 1912 Francis Ave, Station Pointe Apt, Mansfield, MA 02048 | 2019-09-05 |
| 1720643935 | Emily Cecilia Pavidis | Doula | 1705 West Street, Mansfield, MA 02048 | 2019-05-02 |
| 1942784244 | Mary Rego Perry | Social Worker | 19 North White Pine Lane, Mansfield, MA 02048 | 2018-09-21 |
| 1306341078 | Danielle Haradon | Student in an Organized Health Care Education/Training Program | 42 Fieldstone Drve, Mansfield, MA 02048 | 2018-03-26 |
| 1750882353 | Mansfield Physical Therapy & Wellness LLC | Physical Therapist | 200 Chauncy St Ste 4, Mansfield, MA 02048 | 2018-02-28 |
| 1548671498 | Angela Silva | Developmental Therapist | 73 Elyse Rd, Mansfield, MA 02048 | 2014-05-14 |
| 1700123049 | Christy Kelly Ciccariello | Pediatrics | 4 Samoset Way, Mansfield, MA 02048 | 2013-01-07 |
| 1659620292 | Deirdre J Manning | Physical Therapist | 31 Oxford Road, Mansfield, MA 02048 | 2012-08-29 |
| 1043514706 | Carpen, Inc. | Health Maintenance Organization | 287 School St., Mansfield, MA 02048 | 2011-01-10 |
| 1295062545 | Theresa Melchionna Rhein | Social Worker | 450 Chauncy Street, Mansfield, MA 02048 | 2009-11-06 |
| Find all providers in zip 02048 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336765734 | Katarina Alexandra Radovsky | Counselor | 792 West St Apt G106, Mansfield, MA 02048-4109 | 2020-06-22 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| 1689186421 | Bridgette Williams | Counselor | 419 Washington Street, Mansfield, LA 71052 | 2017-11-02 |
| 1922527217 | Cherlyndria Wyatt | Counselor | 108 Hope St, Mansfield, LA 71052 | 2017-09-18 |
| 1669991766 | Heather Michelle Hedges | Counselor | 8 Walker Avenue South, Mansfield, OH 44905 | 2017-09-11 |
| 1972027217 | Raiyawna Gatlin | Counselor | 419 Washington Ave, Mansfield, LA 71052-3103 | 2017-07-28 |
| 1457875932 | Derrick Francis Martin | Counselor | 1601 Nantucket Dr, Mansfield, OH 44904-2147 | 2017-07-27 |
| 1356879340 | Rachel Michelle Slack | Counselor | 751 Highway 287 N Ste 103, Mansfield, TX 76063-6604 | 2017-06-02 |
| 1134650526 | Lovia Hunter | Counselor | 317 Murphy St, Mansfield, LA 71052-4140 | 2017-03-27 |
| 1619412848 | Patricia Mcgrew | Counselor | 502 Hollyberry Dr, Mansfield, TX 76063-3640 | 2016-12-26 |
| Find all providers in MANSFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.