Provider Demographics
NPI:1912339938
Name:SHOWELL, CAROLYN CARTER (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:CARTER
Last Name:SHOWELL
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 1:23321 COUNTRY LIVING RD
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-2850
Mailing Address - Country:US
Mailing Address - Phone:302-344-7519
Mailing Address - Fax:
Practice Address - Street 1:23321 COUNTRY LIVING RD
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-2850
Practice Address - Country:US
Practice Address - Phone:302-344-7519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00011831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical