NPI 1184795197

Carol Jean Root, LICSW

Practitioner Clinical Social Worker Princeton, WV

Practice location

Address: 12 St Princeton Community Hospital--12th Street, Princeton, WV 24740
Phone: (304) 431-5073
Fax: (304) 487-7900
Mailing address: 12th Street Princeton Community Hospital, Princeton, WV 24740

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence DP00452073 (WV)

Other Social Worker providers in West Virginia →

Registry record

NPI: 1184795197
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Nov 2006
Record last updated: 8 Jul 2007

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.