Provider Demographics
NPI:1841858503
Name:ALBERINI, CARYN NICOLE (MSW LICSW LADC I)
Entity type:Individual
Prefix:
First Name:CARYN
Middle Name:NICOLE
Last Name:ALBERINI
Suffix:
Gender:F
Credentials:MSW LICSW LADC I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 DENISE DR
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721-2117
Mailing Address - Country:US
Mailing Address - Phone:508-380-1469
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 748465
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30374-8465
Practice Address - Country:US
Practice Address - Phone:855-284-7483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-29
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MA101YM0800X
MA125342101YM0800X
MALICSW1253421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health