Healthcare Provider Details

I. General information

NPI: 1770487449
Provider Name (Legal Business Name): CAELA CARTER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 SCHENECTADY AVE FL 3
BROOKLYN NY
11213-2330
US

IV. Provider business mailing address

384 MAPLE ST APT 5A
BROOKLYN NY
11225-5112
US

V. Phone/Fax

Practice location:
  • Phone: 347-915-1112
  • Fax:
Mailing address:
  • Phone: 908-240-1527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number4117577
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: