Active NPI
Mary Carmichael Carter
- Social Worker
- Fort Worth, TX
National Provider Identifier
1689913634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 52414
- Practice address
- 1518 E Lancaster Ave
Fort Worth, TX 76102-6718 - Phone
- (469) 693-9354
- Fax
- (817) 255-7166
- NPI assigned
- Feb 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 52414 | TX | Primary |
Addresses
Primary practice location
1518 E Lancaster Ave
Fort Worth, TX 76102-6718
Mailing address
1518 E Lancaster Ave
Fort Worth, TX 76102-6718
Phone (469) 693-9354
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
| License | State | Type | Specialty |
|---|---|---|---|
| 52414 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360627200000",
"number": "1689913634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1518 E LANCASTER AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761026718",
"telephone_number": "469-693-9354",
"fax_number": "817-255-7166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1518 E LANCASTER AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761026718",
"telephone_number": "469-693-9354",
"fax_number": "817-255-7166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "MARY",
"middle_name": "CARMICHAEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-12",
"last_updated": "2013-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "52414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.