Active NPI
Ronald Carter, MSW, LCSW
- Clinical Social Worker
- Saint Joseph, MO
National Provider Identifier
1053383240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 000363
- Practice address
- 902 Edmond St
Suite 203
Saint Joseph, MO 64501-2702 - Phone
- (816) 364-4300
- Fax
- (816) 279-8148
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 000363 | MO | Primary |
Addresses
Primary practice location
902 Edmond St
Suite 203
Saint Joseph, MO 64501-2702
Mailing address
902 Edmond St
Suite 203
Saint Joseph, MO 64501-2702
Phone (816) 364-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 493273627 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000363 | MO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413158400000",
"number": "1053383240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 EDMOND ST",
"address_2": "SUITE 203",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645012702",
"telephone_number": "816-364-4300",
"fax_number": "816-279-8148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 EDMOND ST",
"address_2": "SUITE 203",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645012702",
"telephone_number": "816-364-4300",
"fax_number": "816-279-8148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "RONALD",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2014-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "000363",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "493273627",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.