Basic Information
| Provider Information | |||||||||
| NPI: | 1417052853 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CARTER SCHOFIELD | ||||||||
| FirstName: | CAROL | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 25097 OLYMPIA AVE | ||||||||
| Address2: | STE 205 | ||||||||
| City: | PUNTA GORDA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 339503912 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9413478341 | ||||||||
| FaxNumber: | 9413477702 | ||||||||
| Practice Location | |||||||||
| Address1: | 2232 GRAND AVE | ||||||||
| Address2: | |||||||||
| City: | FORT MYERS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 339013717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2393442341 | ||||||||
| FaxNumber: | 2393347518 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/13/2006 | ||||||||
| LastUpdateDate: | 08/06/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/06/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | SW6872 | FL | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.