Active NPI
Anne Carter, LCSW, CADC
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1053703603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149019242
- Practice address
- 30 N Michigan Ave Ste 424
Chicago, IL 60602-3844 - Phone
- (312) 279-9981
- Fax
- (312) 279-9981
- NPI assigned
- Feb 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 31655 | IL | |
| Clinical Social Worker | 1041C0700X | 149019242 | IL | Primary |
Addresses
Primary practice location
30 N Michigan Ave Ste 424
Chicago, IL 60602-3844
Mailing address
30 N Michigan Ave Ste 424
Chicago, IL 60602-3844
Phone (312) 279-9981
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31655 | Other | IL | CADC |
| 149019242 | Other | IL | LCSW |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MINDBODYCOOP.ANNECARTER@147350.ADVANCEDMD-DIRECT.COM | Health Information Exchange (HIE) | Mind Body Co-op |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31655 | IL | MD | Addiction (Substance Use Disorder) Counselor |
| 149019242 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Body Co-Op | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Mind Body Co-Op | Clinical | Current | Accepting new patients |
Locations
30 N Michigan Ave
Ste 424
Chicago, IL 60602
Phone (312) 279-9981
3209 N Lakewood Ave
Chicago, IL 60657
Phone (312) 279-9981
Interoperability endpoints
- mindbodycoop.annecarter@147350.advancedmd-direct.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Chicago, IL
- NPI 1770174559
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1053703603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N MICHIGAN AVE STE 424",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023844",
"telephone_number": "312-279-9981",
"fax_number": "312-279-9981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N MICHIGAN AVE STE 424",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023844",
"telephone_number": "312-279-9981",
"fax_number": "312-279-9981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "ANNE",
"credential": "LCSW, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-19",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "31655",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149019242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CADC",
"identifier": "31655",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "149019242",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MINDBODYCOOP.ANNECARTER@147350.ADVANCEDMD-DIRECT.COM",
"affiliation": "Y",
"endpointDescription": "amd",
"affiliationName": "Mind Body Co-op",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "30 N Michigan Ave Ste 424",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606023844",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.