Individual provider Active NPI

Laura L Carter, LCSW

  • Clinical Social Worker
  • Redding, CA
National Provider Identifier
1710255310
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25975 Issued in CA
Practice address
448 Redcliff Dr
Suite 215
Redding, CA 96002-0161
Phone
(530) 515-0636
NPI assigned
Dec 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2014

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 25975 CA Primary

Addresses

Primary practice location

448 Redcliff Dr
Suite 215
Redding, CA 96002-0161

Mailing address

448 Redcliff Dr
Suite 215
Redding, CA 96002-0161
Phone (530) 530-5150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120202000943 CA Practitioner - Clinical Social Worker 8123285160 Practice locations: Redding, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

448 Redcliff Dr
Suite 122
Redding, CA 96002-0159
Phone (530) 515-0636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25975CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
His Ideas, Inc PastSince Oct 29, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1710255310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 REDCLIFF DR",
            "address_2": "SUITE 215",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020161",
            "telephone_number": "530-530-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 REDCLIFF DR",
            "address_2": "SUITE 215",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020161",
            "telephone_number": "530-515-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "LAURA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.