Provider Demographics
NPI:1508674755
Name:CARRERA, CAROLINA (LCSW)
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:
Last Name:CARRERA
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 1:53 BROOKLINE DR
Mailing Address - Street 2:
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06108-2916
Mailing Address - Country:US
Mailing Address - Phone:860-713-4465
Mailing Address - Fax:
Practice Address - Street 1:53 BROOKLINE DR
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06108-2916
Practice Address - Country:US
Practice Address - Phone:860-713-4465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty