Healthcare Provider Details

I. General information

NPI: 1942505128
Provider Name (Legal Business Name): ELIZABETH CARTER SARASWAT LISW-CP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH JEAN CARTER MSW

II. Dates (important events)

Enumeration Date: 01/19/2011
Last Update Date: 12/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 PARKWAY COMMONS WAY
GREER SC
29650-5213
US

IV. Provider business mailing address

510 ROYAL DUTCH LN
SIMPSONVILLE SC
29681-5989
US

V. Phone/Fax

Practice location:
  • Phone: 864-561-1133
  • Fax: 864-288-0501
Mailing address:
  • Phone: 703-732-8011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12301
License Number StateSC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: