Provider Demographics
NPI:1154117943
Name:THORNAL, CARRIE MCDONALD (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:MCDONALD
Last Name:THORNAL
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:CARRIE
Other - Middle Name:LANE
Other - Last Name:MCDONALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2140 CRAWFORDVILLE HWY UNIT B
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32327-1097
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1363 E LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-4799
Practice Address - Country:US
Practice Address - Phone:850-926-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW235711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical