Provider Demographics
NPI:1366691081
Name:WOODS, CARMEN NADIA
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:NADIA
Last Name:WOODS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CARMEN
Other - Middle Name:NADIA
Other - Last Name:WOODS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 366
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35021-0366
Mailing Address - Country:US
Mailing Address - Phone:205-417-3977
Mailing Address - Fax:
Practice Address - Street 1:4805 ROSSER LOOP DR
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-6195
Practice Address - Country:US
Practice Address - Phone:205-417-3977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2446G104100000X
AL2365C1041C0700X
AL0985-2365C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial Worker