Provider Demographics
NPI:1326847534
Name:HARRIS, CARRIE CAYLOR (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:CAYLOR
Last Name:HARRIS
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:ELIZABETH
Other - Last Name:CAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:372 CENTER DR
Mailing Address - Street 2:
Mailing Address - City:ORRINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04474-3516
Mailing Address - Country:US
Mailing Address - Phone:251-593-1689
Mailing Address - Fax:
Practice Address - Street 1:372 CENTER DR
Practice Address - Street 2:
Practice Address - City:ORRINGTON
Practice Address - State:ME
Practice Address - Zip Code:04474-3516
Practice Address - Country:US
Practice Address - Phone:251-593-1689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC244621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical