Clark Carroll is a Janesville, Wisconsin based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Clark Carroll is 7914 for Psych/Mental Health in Wisconsin. His current practice location is 1820 Center Ave Ste 170, Janesville. Patients can reach him at 608-755-1475 or can fax him at 608-755-1733. Clark Carroll is APNP with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1962773648. Clark Carroll provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Clark Carroll speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Clark Carroll
Specialization:
Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:
Male
Credentials:
APNP
Practice Address:
1820 Center Ave Ste 170, Janesville, Wisconsin, 53546-2878
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1962773648
NPI Enumeration Date:
26 Jan, 2012
NPI Last Update On:
01 Mar, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Clark Carroll are as mentioned below.
License Number
Specialization
State
Status
7914
Psych/Mental Health
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Clark Carroll such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1962773648
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Clark Carroll 203 W Sunny Ln, Janesville, Wisconsin
Zip:
53546-9091
Phone Number:
608-755-1475
Fax Number:
608-755-1733
Patients can reach Clark Carroll at 1820 Center Ave Ste 170, Janesville, Wisconsin or can call to book an appointment on 608-755-1475.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.