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Kathleen J. Carroll

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as KATHLEEN CARROLL.

Based on the most recent information from CMS, provider Kathleen J. Carroll is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1578625588
Provider Type
Individual
Full Name
Carroll, Kathleen J.
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
12/15/2006
Last Updated
11/17/2008

Contact Information

Practice Location

800 Zorn Ave, Louisville, KY 40206-1433

(502) 287-6110

Unlisted Fax

Mailing Location

1001 Old Harrods Creek Rd, Louisville, KY 40223-2542

(502) 245-4205

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 34005180A Indiana

Kathleen J. Carroll

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Mitchell, Tiffany

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Schnarr, Mary

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