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Provider Information for 1891922563


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CHRISTY A CARTER LMSW


Sex: Female

NPI: 1891922563
Last Updated: 2024-12-04
Certification Date: 2024-12-04

Details

NameValue
NPI1891922563
Enumeration Date2009-06-19
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1434 W 57TH ST
DAVENPORT, IA 52806-1804
United States

Phone: 563-823-0889 | Fax:
 
Primary Practice Address 1229 W 8TH ST
DAVENPORT, IA 52802-1331
United States

Phone: 563-322-3011 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalIA02638
No 104100000X - Social Worker