Provider Demographics
NPI:1013296839
Name:TORRES, CAROLINE COOPER (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:COOPER
Last Name:TORRES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 MARLOW ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-2422
Mailing Address - Country:US
Mailing Address - Phone:917-280-2512
Mailing Address - Fax:
Practice Address - Street 1:440 FOREST AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-2015
Practice Address - Country:US
Practice Address - Phone:917-280-2512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-10
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical