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NPI Code Detail

MEDICARE: RONALD CARTER MSW, LCSW

MEDICARE: RONALD CARTER MSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker000363MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053383240
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD CARTER MSW, LCSW
Provider Business Mailing Address
First Line : 902 EDMOND ST
Second Line : SUITE 203
City : SAINT JOSEPH
State : MO
Zip : 64501-2702
Country : US
Telephone Number : 816-364-4300
Fax Number : 816-279-8148
Provider Business Practice Location Address
First Line : 902 EDMOND ST
Second Line : SUITE 203
City : SAINT JOSEPH
State : MO
Zip : 64501-2702
Country : US
Telephone Number : 816-364-4300
Fax Number : 816-279-8148
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 10/13/2014

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Directions to “ RONALD CARTER MSW, LCSW” Practice Location

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