Active NPI
Gwendolyn Casandra Franks Carter, LCSW
- Clinical Social Worker
- Lake Jackson, TX
National Provider Identifier
1417620949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 204258
- Practice address
- 115 Plum Cir
Lake Jackson, TX 77566-4809 - Phone
- (979) 480-7663
- NPI assigned
- Jul 30, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 204258 | TX | Primary |
Addresses
Primary practice location
115 Plum Cir
Lake Jackson, TX 77566-4809
Mailing address
115 Plum Cir
Lake Jackson, TX 77566-4809
Phone (979) 480-7663
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 |
|---|---|---|---|
| 204258 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627603200000",
"number": "1417620949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 PLUM CIR",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775664809",
"telephone_number": "979-480-7663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 PLUM CIR",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775664809",
"telephone_number": "979-480-7663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANKS CARTER",
"first_name": "GWENDOLYN",
"middle_name": "CASANDRA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-30",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "204258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Jackson, TX
- Corina Rae Fitze-Vallier, PHARMACY TECHNICIAN
- Foot Doctors of Texas LLC (Foot Specialists of Lake Jackson)
- Kara Desper Ford, D.M.D.
- Michel Antoinette Foster, OTR
- Frank J Grady MD Assoc Brazosport Eye Clinic
- Dedra Deann Frazier, PH.D
- Craig K Freedman, M.D.
- Kim Freeman, MA DMD MS
- Melinda Friudenberg, FNP
- Richard C Fugler, DDS , MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.