Doctor Name: | MRS. CAROL VICTOR ROTHMAN |
NPI Number: | 1417914920 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 101860 |
Business Practice Address: | 154 E Main St Westboro, MA - 01581 |
Business Phone Number: | 5088700647 |
Business Fax Number: | |
Mailing Address: | Po Box 34, WESTBORO |
State: | MA |
Postal Code: | 01581 |
Phone Number: | 5087915540 |
Fax Number: | 5087996325 |
NPI Enumeration Date: | 04/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 101860 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |