Provider Demographics
NPI:1730424425
Name:CARTER, NATASHA (MSW, LICSW, LCSW)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:MSW, LICSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 HARRY S TRUMAN DR
Mailing Address - Street 2:APT 34
Mailing Address - City:LARGO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-1028
Mailing Address - Country:US
Mailing Address - Phone:704-369-4860
Mailing Address - Fax:
Practice Address - Street 1:2041 MARTIN LUTHER KING JR AVE SE
Practice Address - Street 2:SUITE 303
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-7024
Practice Address - Country:US
Practice Address - Phone:202-889-7900
Practice Address - Fax:202-610-3095
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-06
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCLC50080636OtherLICSW