Active NPI
Anna J Carter, MSW, LCSW
- Clinical Social Worker
- Bolingbrook, IL
National Provider Identifier
1225216757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2164-C
- Practice address
- 326 Northridge Ave
Bolingbrook, IL 60440-2447 - Phone
- (479) 239-4681
- Fax
- (630) 739-9699
- NPI assigned
- Feb 6, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2164-C | AR | Primary |
| Clinical Social Worker | 1041C0700X | 00149009542 | IL |
Addresses
Primary practice location
326 Northridge Ave
Bolingbrook, IL 60440-2447
Mailing address
326 Northridge Ave
Bolingbrook, IL 60440-2447
Phone (479) 239-4681
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 |
|---|---|---|---|
| 2164-C | AR | MD | Clinical Social Worker |
| 00149009542 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234137600000",
"number": "1225216757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 NORTHRIDGE AVE",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604402447",
"telephone_number": "479-239-4681",
"fax_number": "630-739-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 NORTHRIDGE AVE",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604402447",
"telephone_number": "479-239-4681",
"fax_number": "630-739-9699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "ANNA",
"middle_name": "J",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-06",
"last_updated": "2009-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "2164-C",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "00149009542",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.