Active NPI
Rebekah Eve Carter, LCSW, LICSW
- Clinical Social Worker
- Canaan, NH
National Provider Identifier
1396141933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 081012
- Practice address
- 358 Canaan St
Canaan, NH 03741-7622 - Phone
- (718) 869-2271
- NPI assigned
- Nov 10, 2014
- Last updated
- Oct 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 081012 | NY | MD | Clinical Social Worker |
| 089.0134199 | VT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Psychiatry Physician
- Staten Island, NY
- NPI 1740300656
-
- Psychologist
- Staten Island, NY
- NPI 1497802144
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.