Individual provider · Type 1 NPI
Phyllis Widbur Carlson, LICSW
Registered Nurse · Roslindale, MA
Practice location
15 Ravenna Rd
Roslindale, MA 02131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 100299 (MA) |
| Registered Nurse Primary | 163W00000X | RN68987 (MA) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1154486603
Phyllis Widbur Carlson, LICSW's National Provider Identifier is 1154486603, issued on Dec 26, 2006. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Roslindale, MA. The record was last updated on Sep 11, 2025.