Individual provider Active NPI

Nycole C Carter, BSW, LSW

  • Clinical Social Worker
  • Hilliard, OH
National Provider Identifier
1619643400
Registry record updated Jan 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.2106796 Issued in OH
Practice address
3645 Ridge Mill Dr
Hilliard, OH 43026-7752
Phone
(614) 457-7876
Fax
(614) 457-7896
NPI assigned
Aug 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X S.2106796 OH
Behavior Technician 106S00000X
Clinical Social Worker 1041C0700X S.2106796 OH Primary

Addresses

Primary practice location

3645 Ridge Mill Dr
Hilliard, OH 43026-7752

Mailing address

715 S Plum St
Marysville, OH 43040-1631
Phone (937) 644-9192

Other practice location 1

715 S Plum St
Marysville, OH 43040-1631
Phone (937) 644-9192

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

LicenseStateTypeSpecialty
S.2106796OHMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705190400000",
    "number": "1619643400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S PLUM ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401631",
            "telephone_number": "937-644-9192",
            "fax_number": "937-644-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 RIDGE MILL DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267752",
            "telephone_number": "614-457-7876",
            "fax_number": "614-457-7896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 S Plum St",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "OH",
            "postal_code": "430401631",
            "country_code": "US",
            "telephone_number": "937-644-9192",
            "fax_number": "937-644-3426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "NYCOLE",
        "middle_name": "C",
        "credential": "BSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2024-01-14",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "OH",
            "license": "S.2106796",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.2106796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2024; 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.