Individual provider Active NPI

Candy Carter, LCSW

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1497137269
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15840 Issued in MD
Practice address
6615 Reisterstown Rd Ste 203
Baltimore, MD 21215-2686
Phone
(443) 425-0844
NPI assigned
Jun 29, 2015
Last updated
May 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904008628 VA
Clinical Social Worker 1041C0700X 15840 MD Primary

Addresses

Primary practice location

6615 Reisterstown Rd Ste 203
Baltimore, MD 21215-2686

Mailing address

4205 Lowell Dr
Pikesville, MD 21208-6028
Phone (443) 425-0844

Other practice location 1

5900 York Rd Ste 108
Baltimore, MD 21212
Phone (443) 425-0844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20180322000639 MD Practitioner - Clinical Social Worker 6507170289 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
Baltimore Medical System, Inc.Group PAC ID 5395653455, 86 clinicians

Practice addresses (Care Compare)

5525 Eastern Ave
Suite 301
Baltimore, MD 21224-2796
Phone (410) 558-4804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904008628VAMDClinical Social Worker
15840MDMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore Medical System, Inc. CurrentSince Sep 25, 2023 Accepting new patients
Baltimore Medical System, Inc. CurrentSince Sep 25, 2023 Accepting new patients
Aspire to Change Wellness Services, LLC Clinical CurrentSince May 18, 2022 Accepting new patients

Locations

5900 York Rd
Ste 108
Baltimore, MD 21212
Phone (240) 316-1461

1000 Stewart Ave
Glen Burnie, MD 21061

Interoperability endpoints

  • Direct secure messaging: candy.carter.p1@direct.bmsi.nextgenshare.com

Organizations & group practices 5

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": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1497137269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 LOWELL DR",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086028",
            "telephone_number": "443-425-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 REISTERSTOWN RD STE 203",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152686",
            "telephone_number": "443-425-0844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 York Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21212",
            "country_code": "US",
            "telephone_number": "443-425-0844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CANDY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008628",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.