Individual provider Active NPI

Christy A Carter, LMSW

  • Clinical Social Worker
  • Davenport, IA
National Provider Identifier
1891922563
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
02638 Issued in IA
Practice address
1229 W 8TH St
Davenport, IA 52802-1331
Phone
(563) 322-3011
NPI assigned
Jun 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 02638 IA Primary
Social Worker 104100000X

Addresses

Primary practice location

1229 W 8TH St
Davenport, IA 52802-1331

Mailing address

1434 W 57TH St
Davenport, IA 52806-1804
Phone (563) 823-0889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141006001303 IA Practitioner - Clinical Social Worker 3476773995 Reassigns benefits to 3 organizations
I20250815003170 IL Practitioner - Clinical Social Worker 3476773995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

415 W Golf Rd
Arlington Heights, IL 60005-3923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02638IAMDClinical Social Worker
2859NEMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Iowa PLLC Clinical CurrentSince Aug 1, 2025 Accepting new patients
Family Empowerment Services, Inc Social Worker CurrentSince Aug 23, 2014 Accepting new patients
Vitae Health Medical Illinois, PLLC Clinical CurrentSince Aug 1, 2025 Accepting new patients

Locations

1706 Brady St
Ste 206
Davenport, IA 52803
Phone (563) 320-7050

810 Main St
Muscatine, IA 52761
Phone (563) 260-9280

5010 Grand Ridge Dr
West Des Moines, IA 50265
Phone (515) 222-5991

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

7300 34th Ave
Moline, IL 61265
Phone (309) 792-5940

Organizations & group practices 4

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": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1891922563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 W 57TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528061804",
            "telephone_number": "563-823-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 W 8TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528021331",
            "telephone_number": "563-322-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CHRISTY",
        "middle_name": "A",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "02638",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.