Individual provider Active NPI

Rebekah Eve Carter, LCSW, LICSW

  • Clinical Social Worker
  • Canaan, NH
National Provider Identifier
1396141933
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081012 Issued in NY
Practice address
358 Canaan St
Canaan, NH 03741-7622
Phone
(718) 869-2271
NPI assigned
Nov 10, 2014
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089.0134199 VT
Clinical Social Worker 1041C0700X 081012 NY Primary

Addresses

Primary practice location

358 Canaan St
Canaan, NH 03741-7622

Mailing address

358 Canaan St
Canaan, NH 03741-7622
Phone (718) 869-2271

Other practice location 1

308 Seaview Ave
Staten Island, NY 10305-2246
Phone (718) 351-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
081012NYMDClinical Social Worker
089.0134199VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Psychological Services, P.C. Past Accepting new patients
Clinical Management Consultants Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1396141933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 CANAAN ST",
            "city": "CANAAN",
            "state": "NH",
            "postal_code": "037417622",
            "telephone_number": "718-869-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 CANAAN ST",
            "city": "CANAAN",
            "state": "NH",
            "postal_code": "037417622",
            "telephone_number": "718-869-2271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Seaview Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103052246",
            "country_code": "US",
            "telephone_number": "718-351-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "REBEKAH",
        "middle_name": "EVE",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0134199",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canaan, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.