Provider Demographics
NPI:1699326546
Name:CARN, TERRENCE LENORRIS SR (LCSW, MCAP)
Entity type:Individual
Prefix:MR
First Name:TERRENCE
Middle Name:LENORRIS
Last Name:CARN
Suffix:SR
Gender:M
Credentials:LCSW, MCAP
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Mailing Address - Street 1:6586 HYPOLUXO RD # 230
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-7678
Mailing Address - Country:US
Mailing Address - Phone:561-248-8900
Mailing Address - Fax:561-471-3288
Practice Address - Street 1:1375 GATEWAY BLVD STE 29
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8304
Practice Address - Country:US
Practice Address - Phone:561-379-1440
Practice Address - Fax:561-471-3288
Is Sole Proprietor?:No
Enumeration Date:2019-09-23
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLMCAP100694101YA0400X
FLSW153301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)