Provider Demographics
NPI:1861525388
Name:CARTER, WESLEY CARLIN (LCSW, MSW)
Entity type:Individual
Prefix:MRS
First Name:WESLEY
Middle Name:CARLIN
Last Name:CARTER
Suffix:
Gender:F
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3506 WARICK DR
Mailing Address - Street 2:APT. 1
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-6049
Mailing Address - Country:US
Mailing Address - Phone:214-642-8486
Mailing Address - Fax:
Practice Address - Street 1:4411 LEMMON AVE
Practice Address - Street 2:STE 201
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-2143
Practice Address - Country:US
Practice Address - Phone:214-389-7732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW #290761041C0700X
TX601201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical