Provider Demographics
NPI:1700202157
Name:POWERS-GIRON, CAROLE L (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:CAROLE
Middle Name:L
Last Name:POWERS-GIRON
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 FOSTER LN
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-6503
Mailing Address - Country:US
Mailing Address - Phone:516-381-6014
Mailing Address - Fax:
Practice Address - Street 1:20 HICKSVILLE RD STE 5
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-5819
Practice Address - Country:US
Practice Address - Phone:516-381-6014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-10
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY085206-11041C0700X
NY085615-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical