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Contact Information

KAVITA CARLSON, LCSW
2680 VERNON DR
GREEN BAY, WI54304-5374
 Phone: 920-496-4700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for KAVITA CARLSON · (Female)

NPI Number 1013068816
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 01/16/2007
Last updated 09/16/2016 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1099
  • WI Medicaid 39665200
  • WI Other 396947235002 BLUE CROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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