Carpenter LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CARPENTER LCSW PLLC

Practice address

1212 S Air Depot Blvd Ste 19a
Midwest City, OK 73110-4873

Phone

(405) 343-1585

NPI assigned

Mar 2, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Craig Alan Carpenter, LCSWNPI 1174890958

Title

LCSW/Owner

Phone

(405) 343-1585

Specialties & licenses 1

Addresses

Tax ID family

Carpenter LCSW PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carpenter LCSW PLLC

  • Mental Health Counselor
  • Oklahoma City, OK
  • NPI 1174222145
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig Alan Carpenter, LCSW

  • Clinical Social Worker
  • Tinker Afb, OK
  • NPI 1174890958
  NPD Authorized official

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1114551900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S AIR DEPOT BLVD STE 19A",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104873",
            "telephone_number": "405-343-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S AIR DEPOT BLVD STE 19A",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104873",
            "telephone_number": "405-343-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARPENTER LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "405-343-1585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.