PHYLLIS WIDBUR CARLSON (LICSW) – Registered Nurse, NPI 1154486603

PHYLLIS WIDBUR CARLSON (LICSW) is a healthcare provider. based in Roslindale, Massachusetts. specializing in Registered Nurse. They hold the professional credentials LICSW. They hold a License No. 100299 (MA). The NPI Number for PHYLLIS WIDBUR CARLSON (LICSW) is 1154486603

Main info

Female
57 Years Of Experience
Accepts Medicare Assignment
Name
PHYLLIS WIDBUR CARLSON (LICSW)
NPI
1154486603
Phone
(617) 325-6759
Address
15 RAVENNA RD
Enumeration Date
26 December 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6173616370
Graduation Year
1969 (57 years ago)
PAC ID
2264465525
Professional Enrollment ID
I20050916000191
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for PHYLLIS WIDBUR CARLSON (LICSW)

  • 15 RAVENNA RD

    ROSLINDALE, MA 02131

    Phone: (617) 325-6759

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02131)

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Reviews

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Frequently asked questions

What is the registry number for PHYLLIS WIDBUR CARLSON (LICSW)?
The registry entry for PHYLLIS WIDBUR CARLSON (LICSW) shows NPI 1154486603.
Does the public listing show PHYLLIS WIDBUR CARLSON (LICSW) as active?
PHYLLIS WIDBUR CARLSON (LICSW)'s NPI record reflects an active status in NPPES.
How should patients interpret PHYLLIS WIDBUR CARLSON (LICSW)'s specialty?
The extract shows Registered Nurse for PHYLLIS WIDBUR CARLSON (LICSW). Clinical services aligned with this taxonomy classification.
Which community is linked to PHYLLIS WIDBUR CARLSON (LICSW)?
PHYLLIS WIDBUR CARLSON (LICSW) shows a connection to Roslindale, Massachusetts in registry-derived data.
Can I export PHYLLIS WIDBUR CARLSON (LICSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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