Provider Demographics
NPI:1750428454
Name:WOOD, CAROL Y (LCSW)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:Y
Last Name:WOOD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 S FRENCH BROAD AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3901
Mailing Address - Country:US
Mailing Address - Phone:828-231-2610
Mailing Address - Fax:828-225-5884
Practice Address - Street 1:93 PEARSON DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1645
Practice Address - Country:US
Practice Address - Phone:828-231-2610
Practice Address - Fax:828-225-5884
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCOO36031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC136RPOtherBCBS
NC6003059Medicaid