Provider Demographics
NPI:1760570113
Name:CAREW, JAMES (MSW)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:CAREW
Suffix:
Gender:M
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:PO BOX 316
Mailing Address - Street 2:
Mailing Address - City:NEWFANE
Mailing Address - State:VT
Mailing Address - Zip Code:05345-0316
Mailing Address - Country:US
Mailing Address - Phone:802-365-4468
Mailing Address - Fax:802-254-2025
Practice Address - Street 1:23 WEST STREET
Practice Address - Street 2:C/O MOORE FREE LIBRARY
Practice Address - City:NEWFANE
Practice Address - State:VT
Practice Address - Zip Code:05345
Practice Address - Country:US
Practice Address - Phone:802-365-4468
Practice Address - Fax:802-254-2025
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089-00008611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1009288Medicaid
VT59031OtherBLUE CROSS BLUE SHIELD
VT59031OtherBLUE CROSS BLUE SHIELD