Provider Demographics
NPI:1477974145
Name:JAMES, CAROL A (LICSW)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:A
Last Name:JAMES
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 MILL POND RD
Mailing Address - Street 2:
Mailing Address - City:KITTERY
Mailing Address - State:ME
Mailing Address - Zip Code:03904-1113
Mailing Address - Country:US
Mailing Address - Phone:603-828-7215
Mailing Address - Fax:207-439-9770
Practice Address - Street 1:34 MILL POND RD
Practice Address - Street 2:
Practice Address - City:KITTERY
Practice Address - State:ME
Practice Address - Zip Code:03904-1113
Practice Address - Country:US
Practice Address - Phone:603-828-7215
Practice Address - Fax:207-439-9770
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-26
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH15091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical