Individual provider Active NPI

Gerald L Carter, LISW

  • Social Worker
  • West Chester, OH
National Provider Identifier
1831240258
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I-0004132 Issued in OH
Practice address
8806 Cincinnati Dayton Rd
West Chester, OH 45069-3135
Phone
(513) 755-1777
Fax
(513) 759-9977
NPI assigned
Jan 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I-0004132 OH Primary

Addresses

Primary practice location

8806 Cincinnati Dayton Rd
West Chester, OH 45069-3135

Mailing address

4240 Hunt Rd
Cincinnati, OH 45242-6612
Phone (513) 891-0650

Other identifiers 1

IdentifierTypeStateIssuer
000000262214OtherOHANTHEM PROVIDER NUMBER

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

LicenseStateTypeSpecialty
I-0004132OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Behavioral Health PSC Past 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": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831240258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 HUNT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426612",
            "telephone_number": "513-891-0650",
            "fax_number": "513-891-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8806 CINCINNATI DAYTON RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693135",
            "telephone_number": "513-755-1777",
            "fax_number": "513-759-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "GERALD",
        "middle_name": "L",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I-0004132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000262214",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.