Nicky G Carter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1400 Issued in KY

Practice address

1951 Bishop LN
Suite 204/206
Louisville, KY 40218-1930

Phone

(502) 479-4433

Fax

(502) 451-5949

NPI assigned

Jun 9, 2006

Last updated

Nov 11, 2010By the provider in NPPES

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1346281623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 DIXIE HWY",
            "address_2": "SUITE 130",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583913",
            "telephone_number": "502-479-4433",
            "fax_number": "502-451-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 BISHOP LN",
            "address_2": "SUITE 204/206",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181930",
            "telephone_number": "502-479-4433",
            "fax_number": "502-451-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "NICKY",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82000845",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Allen Carter, M.D.
• Megann Carter, RN
• Michaela Tevis Carter
• Mitzi L Carter, PA-C
• Nichole E Carter, OTR/L
• Peggy Carter, LCSW, LMFT
• Samantha Carter
• Samuel David Carter, M.D.
• Sarah Jane Carter, APRN
• Stephanie Marie Carter

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.