MEDICARE: MRS. TRIMEASE L K CARTER MSW

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	101Y00000X	Counselor
2	104100000X	Social Worker

General Provider Information

NPI Number	:	1083921696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TRIMEASE L K CARTER MSW

Provider Business Mailing Address
First Line	:	2018 TAYLOR ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-1006
Country	:	US
Telephone Number	:	803-708-4712
Fax Number	:	803-708-4718

Provider Business Practice Location Address
First Line	:	2018 TAYLOR ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-1006
Country	:	US
Telephone Number	:	803-708-4712
Fax Number	:	803-708-4718

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

Provider Enumeration Date	:	09/02/2010
Last Update Date	:	09/02/2010

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