Individual provider Active NPI

Vincent Carter, LMSW

  • Clinical Social Worker
  • Williamsburg, OH
National Provider Identifier
1396169207
Registry record updated Jul 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801068145 Issued in MI
Practice address
170 Winding Trails Drive
Williamsburg, OH 45176
Phone
(231) 349-5410
NPI assigned
Feb 12, 2014
Last updated
Jul 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801068145 MI
Clinical Social Worker 1041C0700X 6801068145 MI Primary

Addresses

Primary practice location

170 Winding Trails Drive
Williamsburg, OH 45176

Mailing address

170 Winding Trails Dr
Williamsburg, OH 45176-1474
Phone (231) 349-5410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141028002849 MI Practitioner - Clinical Social Worker 1456572833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lauren Presutti LLCGroup PAC ID 4981026580, 17 clinicians

Practice addresses (Care Compare)

343 River Oaks Dr
Milford, MI 48381-1037
Phone (248) 717-1232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801068145MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Presutti LLC Clinical CurrentSince Dec 1, 2021 Accepting new patients

Organizations & group practices 1

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": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688256000000",
    "number": "1396169207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 WINDING TRAILS DR",
            "city": "WILLIAMSBURG",
            "state": "OH",
            "postal_code": "451761474",
            "telephone_number": "231-349-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 WINDING TRAILS DRIVE",
            "city": "WILLIAMSBURG",
            "state": "OH",
            "postal_code": "45176",
            "telephone_number": "231-349-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "VINCENT",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-12",
        "last_updated": "2023-07-02",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801068145",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801068145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, OH

Sources for this page

Verify at the official NPI Registry.