Misty Dawn Carter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

104996 Issued in TX

Practice address

325 Peanut Dr
Temple, TX 76502-5289

Phone

(254) 913-0395

NPI assigned

Jun 28, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Central Counties Center for Mental Health & Mental Retardation SRVS

  • Family Medicine Physician
  • Temple, TX
  • NPI 1023501939
  NPD
• Central Counties Center for Mental Health & Mental Retardation SRVS

  • Mental Health Counselor
  • Temple, TX
  • NPI 1356310585

  Clinical

  NPD

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1245075498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 PEANUT DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765025289",
            "telephone_number": "254-913-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 PEANUT DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765025289",
            "telephone_number": "254-913-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "MISTY",
        "middle_name": "DAWN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Carroll
• Michelle Lee Carroll
• Caylin Miller Carson, PHARMD
• David Anderson Carter, CRNA
• Gerald Robison Carter Jr., LPC
• Reagan Clark Carter, DO
• Sharon Faye Carter, MSN-FNP
• Stephanie Carter, FNP-C
• Vicki Lynn Carter, LCSW
• Carus Dental PC

• Clinical Social Worker in Temple, TX
• Providers in Temple, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.