Active NPI
Darnetta D Carter, CLINICAL SOCIAL WORK
- Clinical Social Worker
- Saint Louis, MO
National Provider Identifier
1750605911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2006022574
- Practice address
- 1033 Corporate Square Dr
Saint Louis, MO 63132-2928 - Phone
- (314) 591-9918
- NPI assigned
- Mar 17, 2010
- Reactivated
- May 6, 2013
- Last updated
- May 6, 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2006022574 | MO | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2006022574 | MO | |
| Mental Health Counselor | 101YM0800X | 2006022574 | MO | |
| Professional Counselor | 101YP2500X | 2006022574 | MO | |
| Social Worker | 104100000X | 2006022574 | MO | |
| Clinical Social Worker | 1041C0700X | 2006022574 | MO | Primary |
| School Social Worker | 1041S0200X | 2006022574 | MO | |
| Marriage & Family Therapist | 106H00000X | 2006022574 | MO |
Addresses
Primary practice location
1033 Corporate Square Dr
Saint Louis, MO 63132-2928
Mailing address
1033 Corporate Square Dr
Saint Louis, MO 63132-2928
Phone (314) 591-9918
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006022574 | MO | MD | Counselor |
Interoperability endpoints
- darnetta.carter.p1@direct.phcenters.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367798400000",
"number": "1750605911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 CORPORATE SQUARE DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631322928",
"telephone_number": "314-591-9918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 CORPORATE SQUARE DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631322928",
"telephone_number": "314-591-9918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "DARNETTA",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "CLINICAL SOCIAL WORK",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-17",
"last_updated": "2013-05-06",
"deactivation_date": "2012-03-27",
"reactivation_date": "2013-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2006022574",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MO",
"license": "2006022574",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2006022574",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2006022574",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2006022574",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2006022574",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MO",
"license": "2006022574",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MO",
"license": "2006022574",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.