Reagon Percy Carr, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005622 Issued in MO

Practice address

4100 Goss Rd SW
USA Meddac Attn: Credentials
Huntsville, AL 35809-0001

Phone

(256) 955-8888

NPI assigned

Jan 26, 2006

Last updated

Jun 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1346210861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 GOSS ROAD",
            "address_2": "USA MEDDAC ATTN: CREDENTIALS",
            "city": "REDSTONE ARSENAL",
            "state": "AL",
            "postal_code": "358097000",
            "telephone_number": "913-240-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 GOSS RD SW",
            "address_2": "USA MEDDAC ATTN: CREDENTIALS",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358090001",
            "telephone_number": "256-955-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "REAGON",
        "middle_name": "PERCY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "005622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatia Lynn Carpenter, RPH
• Gail L Carr, CRNA
• James Raymond Carr
• Kara Carr, CRNP
• Lisa Isabell Carr
• Tiffany Carr, MSW
• Carrie's Group Homes, Incorporated
• Carroll Hearing Associates, LLC
• James Carroll
• Jeffrey W Carroll, PA C

• Clinical Social Worker in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.