Provider Demographics
NPI:1922308204
Name:CHAMBERS, CARROL ANN (MSW)
Entity Type:Individual
Prefix:MS
First Name:CARROL
Middle Name:ANN
Last Name:CHAMBERS
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:PO BOX 2032
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03302-2032
Mailing Address - Country:US
Mailing Address - Phone:603-228-0547
Mailing Address - Fax:603-226-7508
Practice Address - Street 1:105 LOUDON RD
Practice Address - Street 2:BLDG 3
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5601
Practice Address - Country:US
Practice Address - Phone:603-228-0547
Practice Address - Fax:603-226-7508
Is Sole Proprietor?:No
Enumeration Date:2010-11-02
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC128411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical