Individual provider Active NPI

David E Carraher

  • Clinical Social Worker
  • Winston Salem, NC
National Provider Identifier
1619456522
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C013238 Issued in NC
Practice address
2642 Merry Oaks TRL
Winston Salem, NC 27103-6555
Phone
(336) 327-1729
NPI assigned
Aug 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C013238 NC
Clinical Social Worker 1041C0700X P012732 NC
Clinical Social Worker 1041C0700X C013238 NC Primary

Addresses

Primary practice location

2642 Merry Oaks TRL
Winston Salem, NC 27103-6555

Mailing address

2642 Merry Oaks TRL
Winston Salem, NC 27103-6555
Phone (336) 327-1729

Other identifiers 1

IdentifierTypeStateIssuer
3327939OtherNCTIN

Other names 1

  • David E Carraher Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
C013238NCMDMental Health Counselor
P012732NCMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1619456522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2642 MERRY OAKS TRL",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036555",
            "telephone_number": "336-327-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2642 MERRY OAKS TRL",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036555",
            "telephone_number": "336-327-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRAHER",
        "first_name": "DAVID",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-10",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C013238",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012732",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TIN",
            "identifier": "3327939",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "CARRAHER",
            "middle_name": "E",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.