Individual provider Active NPI

Kesia Carter, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1790970176
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111229 Issued in CA
Practice address
2001 S Barrington Ave Ste 215
Los Angeles, CA 90025-5385
Phone
(310) 929-6176
NPI assigned
Sep 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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 111229 CA Primary

Addresses

Primary practice location

2001 S Barrington Ave Ste 215
Los Angeles, CA 90025-5385

Mailing address

2211 4TH St Apt 203
Santa Monica, CA 90405-2361
Phone (323) 572-9923

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
111229CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Love Thyself Social Services Clinical CurrentSince Apr 9, 2023 Accepting new patients
The San Pedro Clinic Past Accepting new patients

Locations

2001 S Barrington Ave
Ste 215
West Los Angeles, CA 90025
Phone (310) 486-4480

Organizations & group practices 2

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": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1790970176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 4TH ST APT 203",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904052361",
            "telephone_number": "323-572-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE STE 215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255385",
            "telephone_number": "310-929-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KESIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "111229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.