Provider Demographics
NPI:1346459641
Name:HASKELL, CAROLINE THOMAS (MSSW)
Entity Type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:THOMAS
Last Name:HASKELL
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 LAURIE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:PACIFIC GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:93950
Mailing Address - Country:US
Mailing Address - Phone:831-582-3989
Mailing Address - Fax:831-582-4384
Practice Address - Street 1:100 CAMPUS CENTER
Practice Address - Street 2:BLDG 80
Practice Address - City:SEASIDE
Practice Address - State:CA
Practice Address - Zip Code:93955
Practice Address - Country:US
Practice Address - Phone:831-582-3989
Practice Address - Fax:831-582-4384
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS204081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical