MEDICARE: LORI ANN CARTER 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	992127	CO

General Provider Information

NPI Number	:	1376716118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI ANN CARTER LCSW

Provider Business Mailing Address
First Line	:	3877 FREESTONE PT
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80108-7008
Country	:	US
Telephone Number	:	720-915-8820
Fax Number	:

Provider Business Practice Location Address
First Line	:	3877 FREESTONE PT
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80108-7008
Country	:	US
Telephone Number	:	303-668-0615
Fax Number	:

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

Provider Enumeration Date	:	04/11/2008
Last Update Date	:	02/25/2025

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