Provider Demographics
NPI:1194824011
Name:TORRICE, CARL (LICSW)
Entity Type:Individual
Prefix:MR
First Name:CARL
Middle Name:
Last Name:TORRICE
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 AYER RD
Mailing Address - Street 2:SUITE #201
Mailing Address - City:HARVARD
Mailing Address - State:MA
Mailing Address - Zip Code:01451
Mailing Address - Country:US
Mailing Address - Phone:978-387-7449
Mailing Address - Fax:978-710-3258
Practice Address - Street 1:249 AYER RD
Practice Address - Street 2:SUITE #201
Practice Address - City:HARVARD
Practice Address - State:MA
Practice Address - Zip Code:01451
Practice Address - Country:US
Practice Address - Phone:978-387-7449
Practice Address - Fax:978-710-3258
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10271791041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker