Tina L Carter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2006033312 Issued in MO

Practice address

500 Russell St
Kennett, MO 63857-2102

Phone

(573) 717-1332

NPI assigned

Jun 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1285996470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 MAIN ST",
            "city": "NEW MADRID",
            "state": "MO",
            "postal_code": "638691942",
            "telephone_number": "573-748-2404",
            "fax_number": "573-748-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUSSELL ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638572102",
            "telephone_number": "573-717-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "TINA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2006033312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2006033312",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrienne Elois Calvert, LPC
• Andrea Campbell
• Taniya Carpenter, R.N.
• Krystal Carr
• Jessica Carter
• Gabrielle Sheyanne Carver
• April Danelle Cates
• Amy Cato
• Cavness Chiro Inc.
• Bradley S Cavness, DC

• Clinical Social Worker in Kennett, MO
• Providers in Kennett, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.