Provider Demographics
NPI:1841728300
Name:DREWES, CARMEL TRINITY (LICSW (MA), LCSW (TX)
Entity type:Individual
Prefix:
First Name:CARMEL
Middle Name:TRINITY
Last Name:DREWES
Suffix:
Gender:F
Credentials:LICSW (MA), LCSW (TX
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 841
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-0841
Mailing Address - Country:US
Mailing Address - Phone:512-771-2622
Mailing Address - Fax:
Practice Address - Street 1:31 HEATH ST
Practice Address - Street 2:
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-1650
Practice Address - Country:US
Practice Address - Phone:617-238-2430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-30
Last Update Date:2017-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX544371041C0700X
MA1201411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical