Provider Demographics
NPI:1134743156
Name:CARLINO, DEBRA (LMHC)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:CARLINO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 GILSON RD
Mailing Address - Street 2:
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-4645
Mailing Address - Country:US
Mailing Address - Phone:617-216-1696
Mailing Address - Fax:
Practice Address - Street 1:240 ELM ST FL 2
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-2935
Practice Address - Country:US
Practice Address - Phone:978-712-0584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-05
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC10002036101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health