Provider Demographics
NPI:1275574089
Name:HARVICK, CAROL WESTOVER (LCSW, LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:WESTOVER
Last Name:HARVICK
Suffix:
Gender:F
Credentials:LCSW, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 LYNNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-1118
Mailing Address - Country:US
Mailing Address - Phone:817-275-4742
Mailing Address - Fax:940-433-2144
Practice Address - Street 1:3500 LYNNWOOD DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-1118
Practice Address - Country:US
Practice Address - Phone:817-275-4742
Practice Address - Fax:940-433-2144
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX034481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX037346602Medicaid
TX284491OtherVALUE OPTIONS
TX10009074OtherAMERIGROUP
TX037346602Medicaid