Provider Demographics
NPI:1427871045
Name:CAROLYN SCORPIO LMSW LLC
Entity type:Organization
Organization Name:CAROLYN SCORPIO LMSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCORPIO
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW-C
Authorized Official - Phone:734-210-0842
Mailing Address - Street 1:310 MILLER AVE STE 147
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-3373
Mailing Address - Country:US
Mailing Address - Phone:734-210-0842
Mailing Address - Fax:
Practice Address - Street 1:310 MILLER AVE STE 147
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-3373
Practice Address - Country:US
Practice Address - Phone:734-210-0842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty