Active NPI
Joann C.K. Carpenter, PH.D. CLINICAL PSYCH
- Clinical Social Worker
- Bethesda, MD
National Provider Identifier
1437417698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 02385
- Practice address
- 4400 East-West Highway
Suite 1104
Bethesda, MD 20814 - Phone
- (301) 907-8821
- Fax
- (301) 913-9447
- NPI assigned
- Apr 25, 2012
- 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 | 02385 | MD | Primary |
Addresses
Primary practice location
4400 East-West Highway
Suite 1104
Bethesda, MD 20814
Mailing address
4400 East-West Highway
Suite 1104
Bethesda, MD 20814
Phone (301) 907-8821
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02385 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1437417698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 EAST-WEST HIGHWAY",
"address_2": "SUITE 1104",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20814",
"telephone_number": "301-907-8821",
"fax_number": "301-913-9447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 EAST-WEST HIGHWAY",
"address_2": "SUITE 1104",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20814",
"telephone_number": "301-907-8821",
"fax_number": "301-913-9447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "JOANN",
"middle_name": "C.K.",
"name_prefix": "Dr.",
"credential": "PH.D. CLINICAL PSYCH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-25",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "02385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.