Provider Demographics
NPI:1619032802
Name:LIVOY, CAROLYN MARY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:MARY
Last Name:LIVOY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2001 DOGWOOD LN
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-3606
Mailing Address - Country:US
Mailing Address - Phone:302-475-8168
Mailing Address - Fax:302-475-8168
Practice Address - Street 1:2183 BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:PA
Practice Address - Zip Code:19363-4011
Practice Address - Country:US
Practice Address - Phone:610-932-3004
Practice Address - Fax:610-932-2330
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW013291101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health