Jasmine Anne Carter, LCSW

Individual provider Active NPI Clinical Social Worker · Ridgecrest, CA

NPI 1689705642 · NPPES record last updated Sep 21, 2019

Key facts

NPI
1689705642
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
24376 (CA)
Practice address
501 Atkins St
Ridgecrest, CA 93555
Phone
(760) 382-9927
Fax
(760) 446-7234
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
San Bernardino County Superintendent of Schools Past Accepting new patients
Center for Personal and Family Counseling Past
since Sep 29, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 24376 CA Yes

Addresses

Primary practice location

501 Atkins St
Ridgecrest, CA 93555

Mailing address

920 Randall St
Ridgecrest, CA 93555-3007
Phone (760) 382-9927

Other practice location 1

17800 US Highway 18
Apple Valley, CA 92307-1221
Phone (760) 242-6336

Other practice location 2

17800 US Highway 18
Apple Valley, CA 92307-1221
Phone (760) 242-6336

Other identifiers

IdentifierTypeStateIssuer
15347OtherCAACSW

Other providers in Ridgecrest, CA

All providers in Ridgecrest, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.