Organization Name: | CAROL VAN DOORN, LLC |
NPI Number: | 1003257171 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROL VAN DOORN (OWNER/THERAPIST) |
Mailing Address: | 209 Center St Frederick |
State: | MD US |
Postal Code: | 217016309 |
Phone Number: | 3013517421 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2013 |
NPI Last Update Date: | 01/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 15354 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |