Individual provider Active NPI

Patricia T Carter, LICSW

  • Clinical Social Worker
  • Williamstown, MA
National Provider Identifier
1194734178
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
116978 Issued in MA
Practice address
173 Water St Ste 1
Williamstown, MA 01267
Phone
(413) 458-8582
Fax
(413) 458-8750
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 116978 MA Primary

Addresses

Primary practice location

173 Water St Ste 1
Williamstown, MA 01267

Mailing address

173 Water St Ste 1
Williamstown, MA 01267-2888
Phone (413) 458-8582

Other practice location 1

7516 Enterprise Ave
Germantown, TN 38138-3802
Phone (901) 755-5802

Other identifiers 1

IdentifierTypeStateIssuer
010252719MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140305002061 MA Practitioner - Clinical Social Worker 3678521317 Practice locations: Williamstown, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

227 Adams Rd
Williamstown, MA 01267-3233
Phone (413) 597-1922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
116978MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Germantown Psychological Associates PC Clinical PastSince Jul 11, 2010 Accepting new patients
Hidden Paths, LLC PastSince Jul 28, 2024 Accepting new patients
Stephen L Payne, MD, PC PastSince Apr 28, 2008 Accepting new patients
Finney Psychotherapy Associates Iop Past Accepting new patients
Sweetser PastSince Jul 1, 2010 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13840/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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1194734178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 WATER ST STE 1",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672888",
            "telephone_number": "413-458-8582",
            "fax_number": "413-458-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 WATER ST STE 1",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "01267",
            "telephone_number": "413-458-8582",
            "fax_number": "413-458-8750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7516 Enterprise Ave",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381383802",
            "country_code": "US",
            "telephone_number": "901-755-5802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "PATRICIA",
        "middle_name": "T",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010252719",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, MA

Sources for this page

Verify at the official NPI Registry.