MEDICARE: DR. REKEISHA A CARTER LCSW

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	1041C0700X	Clinical Social Worker	36244	MN
2	1041C0700X	Clinical Social Worker	105700	TX

General Provider Information

NPI Number	:	1700682960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REKEISHA A CARTER LCSW

Provider Business Mailing Address
First Line	:	6303 SHADY BROOK LN APT 6303
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-1401
Country	:	US
Telephone Number	:	318-834-3341
Fax Number	:

Provider Business Practice Location Address
First Line	:	6303 SHADY BROOK LN APT 6303
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-1401
Country	:	US
Telephone Number	:	318-834-3341
Fax Number	:

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

Provider Enumeration Date	:	02/19/2025
Last Update Date	:	06/26/2026

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Directions to “ DR. REKEISHA A CARTER LCSW” Practice Location

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