Provider Demographics
NPI:1073642666
Name:STRONG, CAROLE LYNN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CAROLE
Middle Name:LYNN
Last Name:STRONG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26133 TOWN WALK DR
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-3772
Mailing Address - Country:US
Mailing Address - Phone:203-804-3251
Mailing Address - Fax:
Practice Address - Street 1:44 LONG HILL RD
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-1870
Practice Address - Country:US
Practice Address - Phone:203-605-8287
Practice Address - Fax:203-453-1179
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0036631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical