Individual provider Active NPI

Teressa Dana-Ione Carter, LCSW

  • Clinical Social Worker
  • Texarkana, TX
National Provider Identifier
1114245594
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66950 Issued in TX
Practice address
3515 Arista Blvd Unit 9212U
Texarkana, TX 75503-1196
Phone
(910) 787-2248
Fax
(910) 353-1536
NPI assigned
May 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3486-C AR
Clinical Social Worker 1041C0700X 66950 TX Primary
Clinical Social Worker 1041C0700X C009198 NC
Clinical Social Worker 1041C0700X ISW03038 RI

Addresses

Primary practice location

3515 Arista Blvd Unit 9212U
Texarkana, TX 75503-1196

Mailing address

3515 Arista Blvd Apt 9212
Texarkana, TX 75503-1269
Phone (910) 787-2248

Other names 1

  • Teressa Dana-Ione Carter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR, RI, NC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20200430001112 TX Practitioner - Clinical Social Worker 7618307844 Reassigns benefits to 4 organizations
I20250807000538 AR Practitioner - Clinical Social Worker 7618307844
I20250818000967 RI Practitioner - Clinical Social Worker 7618307844 Reassigns benefits to 1 organization
I20260106003738 NC Practitioner - Clinical Social Worker 7618307844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Author Health Professionals, PCGroup PAC ID 7416368949, 93 clinicians
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

2700 Post Oak Blvd
Suite 2100
Houston, TX 77056-5797
Phone (800) 423-4400

2753 Valencia LN
Schertz, TX 78154-3721
Phone (530) 531-5544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66950TXMDProfessional Counselor
3486-CARMDClinical Social Worker
C009198NCMDClinical Social Worker
ISW03038RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kotel Atx CurrentSince May 23, 2022 Accepting new patients
Talkspace Provider Network PA CurrentSince Dec 31, 2024 Accepting new patients
Spineaustin PA Past Accepting new patients

Locations

2578 Broadway
#607
New York, NY 10025
Phone (516) 847-5432

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

3001 Bee Caves Rd
Ste 220
West Lake Hills, TX 78746

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19097/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1114245594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 ARISTA BLVD APT 9212",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031269",
            "telephone_number": "910-787-2248",
            "fax_number": "910-353-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 ARISTA BLVD UNIT 9212U",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031196",
            "telephone_number": "910-787-2248",
            "fax_number": "910-353-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "TERESSA",
        "middle_name": "DANA-IONE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "3486-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66950",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009198",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESSA",
            "last_name": "CARTER",
            "middle_name": "DANA-IONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.