NPI 1013068816

Kavita Carlson, LCSW

Practitioner Clinical Social Worker Green Bay, WI

Practice location

Address: 2680 Vernon Dr, Green Bay, WI 54304-5374
Phone: (920) 496-4700
Mailing address: PO Box 19070, Green Bay, WI 54307-9070

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 1099 (WI)

Other Social Worker providers in Wisconsin →

Registry record

NPI: 1013068816
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jan 2007
Record last updated: 16 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.