Provider Demographics
NPI:1578152757
Name:CAROL D WARNER LCSW LLC
Entity Type:Organization
Organization Name:CAROL D WARNER LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:DIANNE
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:520-235-5772
Mailing Address - Street 1:2910 N SWAN RD STE 202
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-6011
Mailing Address - Country:US
Mailing Address - Phone:520-235-5772
Mailing Address - Fax:520-989-0623
Practice Address - Street 1:2910 N SWAN RD STE 202
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-6011
Practice Address - Country:US
Practice Address - Phone:520-235-5772
Practice Address - Fax:520-989-0623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty