Individual provider Active NPI

Carmella Rochelle Carter, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1457651077
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009743 Issued in NC
Practice address
2912 Highwoods Blvd
Raleigh, NC 27604
Phone
(800) 699-8011
NPI assigned
Oct 29, 2010
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C009743 NC Primary

Addresses

Primary practice location

2912 Highwoods Blvd
Raleigh, NC 27604

Mailing address

105 Tracy LN
Dunn, NC 28334-3034
Phone (703) 626-5838

Other practice location 1

3125 Poplarwood Ct
Suite 300
Raleigh, NC 27604-1084
Phone (919) 790-8580

Other practice location 2

905 Johns Hopkins Dr
Greenville, NC 27834-2056
Phone (252) 744-1406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180814000851 NC Practitioner - Clinical Social Worker 3476802182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benson Area Medical Center, Inc.Group PAC ID 7618872284, 4 clinicians

Practice addresses (Care Compare)

3333 NC Hwy 242 N
Benson, NC 27504-7844
Phone (910) 894-2011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C009743NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jul 9, 2024 Accepting new patients
Benson Area Medical Center, Inc. CurrentSince Mar 15, 2024 Accepting new patients

Locations

3333 NC Highway 242 N
Benson, NC 27504
Phone (910) 894-2011

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

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": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1457651077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TRACY LN",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283343034",
            "telephone_number": "703-626-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 HIGHWOODS BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27604",
            "telephone_number": "800-699-8011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3125 Poplarwood Ct",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276041084",
            "country_code": "US",
            "telephone_number": "919-790-8580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 Johns Hopkins Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342056",
            "country_code": "US",
            "telephone_number": "252-744-1406",
            "fax_number": "252-744-4270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CARMELLA",
        "middle_name": "ROCHELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.