Provider Demographics
NPI:1720163132
Name:CARR, JOEL L (PHD, LCSW-S, LPC-S)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:L
Last Name:CARR
Suffix:
Gender:M
Credentials:PHD, LCSW-S, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF SOCIAL WORK AND SOCIOLOGY
Mailing Address - Street 2:ASU STATION #11043
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76909
Mailing Address - Country:US
Mailing Address - Phone:325-486-6881
Mailing Address - Fax:
Practice Address - Street 1:2601 WEST AVENUE N
Practice Address - Street 2:DEPARTMENT OF SOCIAL WORK AND SOCIOLOGY, HHS 318P
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76909
Practice Address - Country:US
Practice Address - Phone:325-486-6881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16199101YA0400X
TX15246101YM0800X, 101YP2500X
TX304201041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
11645-0622OtherTEXAS CERTIFICATION BOARD OF ADDICTION PROFESSIONALS (IC&RC)
28706OtherAMERICAN BOARD OF CLINICAL SOCIAL WORK
205864OtherNATIONAL BOARD FOR CERTIFIED COUNSELORS
20-362OtherAMERICAN MENTAL HEALTH COUNSELING ASSOCIATION CERTIFICATION BOARD
TX11645-0622OtherTEXAS CERTIFICATION BOARD OF ADDICTION PROFESSIONALS
TX1005-0722OtherTEXAS CERTIFICATION BOARD OF ADDICATION PROFESSIONALS