Mrs. Jacqueline Carroll, LCSW-R
Mrs. Jacqueline Carroll, LCSW-R is a Clinical Social Worker in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2010
Practice location Address checks out
31 Beach AvePort Jefferson Station, NY 11776-2121
Phone: (631) 793-2972
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 069692 (NY) |
|---|
Record details
| NPI number | 1447561618 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSW-R |
| Sole proprietor | Yes |
| NPI enumerated | June 23, 2010 |
| Last updated in NPPES | June 23, 2010 |
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