Therese Ann Carter, LMSW
Individual provider Active NPI Social Worker · Flint, MI
NPI 1972943686 · NPPES record last updated Aug 11, 2020
Key facts
- NPI
- 1972943686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 3077490 (MI)
- Practice address
- 1134 S Linden Rd Ste 8
Flint, MI 48532-3455 - Phone
- (810) 877-6343
- NPI assigned
- Jun 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Creekside Counseling Group LLC
Practice addresses (Care Compare)
10801 S Saginaw St
Suite D
Grand Blanc, MI 48439-8126
Phone (810) 771-4074
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240805002337 | MI | Practitioner - Clinical Social Worker | 9739626045 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3077490 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creekside Counseling Group LLC | Social Worker | Current |
Accepting new patients |
Locations
10801 S Saginaw St
Ste D
Grand Blanc, MI 48439
Phone (810) 771-4074
10683 S Saginaw St
Ste B
Grand Blanc, MI 48439
Phone (810) 694-3576
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 3077490 | MI | Yes |
Addresses
Primary practice location
1134 S Linden Rd Ste 8
Flint, MI 48532-3455
Mailing address
1134 S Linden Rd Ste 8
Flint, MI 48532-3455
Phone (810) 877-6343
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.