Carolina Attachment and Trauma Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CAROLINA ATTACHMENT AND TRAUMA SERVICES

Practice address

409 Lucerne Dr
Spartanburg, SC 29302-3215

Phone

(217) 316-1396

NPI assigned

Apr 30, 2019

Last updated

Apr 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Buckwalter, LCSW

Title

Owner

Phone

(217) 316-1396

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1306400866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 LUCERNE DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293023215",
            "telephone_number": "217-316-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 LUCERNE DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293023215",
            "telephone_number": "217-316-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ATTACHMENT AND TRAUMA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "BUCKWALTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-316-1396",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Camille Carnes, DMD
• Melody J. Carnes, LCSW
• Michelle Cathleen Carney, MD
• Carol Nichols & Carol Kooistra
• Carolina Aesthetic Dentistry PA
• Carolina Behavioral Care, LLC
• Carolina Center for Diabetes Education
• Carolina Ctr for Oral & Maxillofacial Surgery
• Carolina Dental Docs - on - the - Go, LLC
• Carolina Dental Docs LLC General Dentistry for Kids

• Clinical Social Worker in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.