Active NPI
Shaconda Carter, LSW
- Social Worker
- Toledo, OH
National Provider Identifier
1124619432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1100255
- Practice address
- 4333 Monroe St Ste F-G
Toledo, OH 43606-1981 - Phone
- (419) 724-4973
- NPI assigned
- Jan 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1100255 | OH | Primary |
Addresses
Primary practice location
4333 Monroe St Ste F-G
Toledo, OH 43606-1981
Mailing address
4333 Monroe St Ste F-G
Toledo, OH 43606-1981
Phone (419) 724-4973
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 |
|---|---|---|---|
| S.1100255 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hype, LLC | Social Worker | Current | Accepting new patients |
Locations
4333 Monroe St
Ste Fg
Toledo, OH 43606
Phone (419) 315-5075
Organizations & group practices 1
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": "1611878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1124619432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4333 MONROE ST STE F-G",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436061981",
"telephone_number": "419-724-4973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4333 MONROE ST STE F-G",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436061981",
"telephone_number": "419-724-4973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "SHACONDA",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-29",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1100255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.