IndividualActive
Alexis Carroll
NPI 1689346074 · Clinical Social Worker · Bridgeport, CT
Provider details
- NPI number
- 1689346074
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 6017 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
655 Park Ave
Bridgeport, CT 06604-4634
Phone: (203) 275-0700
Approximate (ZIP-level) locationGet directions
Mailing address
1565 Byam Rd
Cheshire, CT 06410-1004
Additional practice locations (1)
- 1565 Byam RdCheshire, CT 06410-1004Phone: (203) 592-9826
Registry dates
- Enumerated
- 2021-10-04
- Last updated
- 2025-06-07
- Certified
- 2025-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.