MEDICARE: MRS. SHERLETTA LATECIA 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
1	1041C0700X	Clinical Social Worker	105256	TX

General Provider Information

NPI Number	:	1316139801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERLETTA LATECIA CARTER MSW, LCSW

Provider Business Mailing Address
First Line	:	6200 SAVOY DR STE 540
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-3338
Country	:	US
Telephone Number	:	713-778-1300
Fax Number	:	713-778-0827

Provider Business Practice Location Address
First Line	:	1414 S FRAZIER ST STE 105
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77301-4475
Country	:	US
Telephone Number	:	936-441-2440
Fax Number	:	877-615-5381

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2007
Last Update Date	:	05/15/2026

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