IndividualActive
Carolyn Mirisola, LICSW
NPI 1992489637 · Clinical Social Worker · Londonderry, NH
Provider details
- NPI number
- 1992489637
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 126361 (MA)
Mailing address
2 Blueberry Ln
Londonderry, NH 03053-3640
Registry dates
- Enumerated
- 2023-06-13
- Last updated
- 2023-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.