Deetta M Roberson Carter, LCSWC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

17501 Issued in MD

Practice address

17 Warren Road
Suite 25a
Pikesville, MD 21208

Phone

(410) 701-0770

Fax

(443) 279-2916

NPI assigned

Nov 17, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Deetta Roberson Carter LCSW-C LLC

  • Clinical Social Worker
  • Pikesville, MD
  • NPI 1295167211
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1760783187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WARREN ROAD",
            "address_2": "SUITE 25A",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-701-0770",
            "fax_number": "443-279-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WARREN ROAD",
            "address_2": "SUITE 25A",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-701-0770",
            "fax_number": "443-279-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON CARTER",
        "first_name": "DEETTA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "G12345",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "17501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220218200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "AJ47",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Syma Hasan Rizvi, PA
• RLR Consulting, LLC
• Road to Wellness & Therapy,
• Julia Roat
• Cameron Robbins, OTR/L
• Kalis Imia Roberson
• Danielle Roberts
• Iyana Alysse Roberts
• Jaquana Roberts
• Mariah Roberts

• Social Worker in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.