Active NPI
Dana M Carter, MSW/LCSW
- Clinical Social Worker
- Columbia, MO
National Provider Identifier
1194779868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2002030044
- Practice address
- 19 E Walnut St
Suite G
Columbia, MO 65203-4505 - Phone
- (573) 356-8111
- Fax
- (573) 634-4010
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2002030044 | MO | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2002030044 | MO | |
| Mental Health Counselor | 101YM0800X | 2002030044 | MO | |
| School Social Worker | 1041S0200X | 2002030044 | MO |
Addresses
Primary practice location
19 E Walnut St
Suite G
Columbia, MO 65203-4505
Mailing address
19 E Walnut St
Suite G
Columbia, MO 65203-4505
Phone (573) 356-8111
Other names 1
- Dana Gibson
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002030044 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Clinical | Past | Accepting new patients |
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": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195171200000",
"number": "1194779868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 E WALNUT ST",
"address_2": "SUITE G",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034505",
"telephone_number": "573-356-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 E WALNUT ST",
"address_2": "SUITE G",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034505",
"telephone_number": "573-356-8111",
"fax_number": "573-634-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "DANA",
"middle_name": "M",
"credential": "MSW/LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2007-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2002030044",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MO",
"license": "2002030044",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2002030044",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MO",
"license": "2002030044",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANA",
"last_name": "GIBSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.