Active NPI
Michael O Carter Sr., LSW, LICDC-CS
- Social Worker
- Columbus, OH
National Provider Identifier
1699215640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S0800629
- Practice address
- 1409 E Livingston Ave
2743 Millrace Drive
Columbus, OH 43205-2926 - Phone
- (614) 253-4448
- NPI assigned
- Feb 24, 2017
- Sex
- Male
- Sole proprietor
- No
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 | S0800629 | OH | Primary |
Addresses
Primary practice location
1409 E Livingston Ave
2743 Millrace Drive
Columbus, OH 43205-2926
Mailing address
2743 Millrace Dr
Columbus, OH 43207-4621
Phone (614) 397-6722
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 |
|---|---|---|---|
| S0800629 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alvis Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Columbus, OH
- NPI 1386993350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487894400000",
"number": "1699215640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2743 MILLRACE DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432074621",
"telephone_number": "614-397-6722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 E LIVINGSTON AVE",
"address_2": "2743 MILLRACE DRIVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052926",
"telephone_number": "614-253-4448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "MICHAEL",
"middle_name": "O",
"name_suffix": "Sr.",
"credential": "LSW, LICDC-CS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-24",
"last_updated": "2017-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S0800629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.