Healthcare Provider Details

I. General information

NPI: 1447572128
Provider Name (Legal Business Name): BEVERLY ANN CARTER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2010
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 S STORMENT LN
GILBERT AZ
85296-1434
US

IV. Provider business mailing address

1010 S STORMENT LN
GILBERT AZ
85296-1434
US

V. Phone/Fax

Practice location:
  • Phone: 480-389-9523
  • Fax:
Mailing address:
  • Phone: 480-489-2737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-15345
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: