Healthcare Provider Details

I. General information

NPI: 1770496077
Provider Name (Legal Business Name): KAREN JENNIFER CARTER BSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 NORTH RD
NILES OH
44446-1918
US

IV. Provider business mailing address

259 BENITA AVE
YOUNGSTOWN OH
44504-1861
US

V. Phone/Fax

Practice location:
  • Phone: 330-652-6770
  • Fax:
Mailing address:
  • Phone: 330-743-1198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: