Carter Wesley Bain

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1007 Peachtree Blvd
Richmond, VA 23226-1136

Phone

(804) 288-1788

Fax

(804) 288-1644

NPI assigned

Jun 1, 2022

Last updated

Jun 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 11, 2024 through Jan 11, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Susan Archer, Inc

  dba Archstone Counseling & Treatment

  • Clinical Social Worker
  • Glen Allen, VA
  • NPI 1265766208
  NPD
• Ashland Physical Therapy Associates Inc

  • Physical Therapist
  • Ashland, VA
  • NPI 1255300190
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1093454795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 PEACHTREE BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261136",
            "telephone_number": "804-288-1788",
            "fax_number": "804-288-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 PEACHTREE BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261136",
            "telephone_number": "804-288-1788",
            "fax_number": "804-288-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIN",
        "first_name": "CARTER",
        "middle_name": "WESLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "205702850",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olga Bailey
• Rachel Bailey
• Shanicia Christine Bailey
• Sydia Bailey, LPC
• Sylvia Nicole Bailey, LCSW
• Jesse C Bain, DO
• Brian Baird, PHARMD
• Christie Baird
• Todd Biery Baird, MD
• Travis Baity, DO

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.