Provider Demographics
NPI:1508900903
Name:ALDER, CAROLE W (MSW)
Entity Type:Individual
Prefix:MS
First Name:CAROLE
Middle Name:W
Last Name:ALDER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 WESTFIELD PL
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-3853
Mailing Address - Country:US
Mailing Address - Phone:740-517-3789
Mailing Address - Fax:
Practice Address - Street 1:21 WESTFIELD PL
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-3853
Practice Address - Country:US
Practice Address - Phone:740-517-3789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.00048771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical