Provider Demographics
NPI:1952723413
Name:MARRERO, CARLOS (LCSW, GAL, EDD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:
Last Name:MARRERO
Suffix:
Gender:M
Credentials:LCSW, GAL, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 NEW BRITAIN AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-4033
Mailing Address - Country:US
Mailing Address - Phone:608-762-7488
Mailing Address - Fax:860-241-0327
Practice Address - Street 1:602 NEW BRITAIN AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-4033
Practice Address - Country:US
Practice Address - Phone:860-249-0975
Practice Address - Fax:833-968-2486
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-17
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool