Provider Demographics
NPI:1316691652
Name:CARLSON, NANCY (MSW, LSW)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:CARLSON
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:FIGUEROA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:177 SYCAMORE DR
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-8429
Mailing Address - Country:US
Mailing Address - Phone:570-460-2085
Mailing Address - Fax:
Practice Address - Street 1:2000 S 25TH ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-6096
Practice Address - Country:US
Practice Address - Phone:484-541-5379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-06
Last Update Date:2022-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW1387541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical