Provider Demographics
NPI:1831557016
Name:DOWDELL, CARL (LCSW, LCAS)
Entity type:Individual
Prefix:
First Name:CARL
Middle Name:
Last Name:DOWDELL
Suffix:
Gender:M
Credentials:LCSW, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 S POST RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28152-7438
Mailing Address - Country:US
Mailing Address - Phone:704-481-7001
Mailing Address - Fax:704-445-4582
Practice Address - Street 1:1201 S POST RD STE 100
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28152-7438
Practice Address - Country:US
Practice Address - Phone:704-481-7001
Practice Address - Fax:704-445-4582
Is Sole Proprietor?:No
Enumeration Date:2016-02-03
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22756101YA0400X
NCC0114541041C0700X
NCP0102131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)