Individual provider Active NPI

Carroll Wesson Foster, LCSW

  • Clinical Social Worker
  • Augusta, GA
National Provider Identifier
1912395641
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005977 Issued in GA
Practice address
127 Telfair St
Augusta, GA 30901-2590
Phone
(706) 922-0600
Fax
(706) 396-1461
NPI assigned
Jan 5, 2015
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 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 12559 SC
Clinical Social Worker 1041C0700X CSW005977 GA Primary

Addresses

Primary practice location

127 Telfair St
Augusta, GA 30901-2590

Mailing address

PO Box 2344
Augusta, GA 30903-2344
Phone (706) 396-1474

Other practice location 1

1226 Dantignac St
Augusta, GA 30901-2788
Phone (706) 922-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20200520001272 GA Practitioner - Clinical Social Worker 7113279860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

127 Telfair St
Augusta, GA 30901-2590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW005977GAMDClinical Social Worker
12559SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Community Health Services Augusta, Inc CurrentSince Apr 20, 2020 Accepting new patients
Christ Community Health Services Augusta, Inc. CurrentSince Apr 20, 2020 Accepting new patients
Christ Community Health Services Augusta, Inc Past Accepting new patients
Christ Community Health Services Augusta, Inc Past Accepting new patients
Christ Community Health Services Augusta, Inc Past Accepting new patients

Locations

1226 Dantignac St
Augusta, GA 30901
Phone (706) 922-0600

1226 Dantignac St
#D
Augusta, GA 30901

1238 Dantignac St
#D
Augusta, GA 30901

127 Telfair St
Augusta, GA 30901
Phone (706) 922-0600

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1912395641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2344",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309032344",
            "telephone_number": "706-396-1474",
            "fax_number": "706-396-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 TELFAIR ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012590",
            "telephone_number": "706-922-0600",
            "fax_number": "706-396-1461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1226 Dantignac St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309012788",
            "country_code": "US",
            "telephone_number": "706-922-0600",
            "fax_number": "706-396-1461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "CARROLL",
        "middle_name": "WESSON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "12559",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.