Individual provider Active NPI

James Davidson Carter, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1700025996
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
COO5200 Issued in NC
Practice address
186 Wind Chime CT Ste 201a
Raleigh, NC 27615-6486
Phone
(919) 277-0253
Fax
(919) 277-4627
NPI assigned
Feb 11, 2009
Last updated
Feb 11, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X COO5200 NC Primary

Addresses

Primary practice location

186 Wind Chime CT Ste 201a
Raleigh, NC 27615-6486

Mailing address

186 Wind Chime CT Ste 201a
Raleigh, NC 27615-6486
Phone (919) 277-0253

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
COO5200NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1700025996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 WIND CHIME CT STE 201A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156486",
            "telephone_number": "919-277-0253",
            "fax_number": "919-277-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 WIND CHIME CT STE 201A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156486",
            "telephone_number": "919-277-0253",
            "fax_number": "919-277-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JAMES",
        "middle_name": "DAVIDSON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "COO5200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.