Provider Demographics
NPI:1083393680
Name:JOHNSON CARTER, SHELIA (LMSW)
Entity Type:Individual
Prefix:
First Name:SHELIA
Middle Name:
Last Name:JOHNSON CARTER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4207
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72914-4207
Mailing Address - Country:US
Mailing Address - Phone:479-785-4083
Mailing Address - Fax:479-434-6248
Practice Address - Street 1:615 W GRAND AVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-3927
Practice Address - Country:US
Practice Address - Phone:479-785-4083
Practice Address - Fax:501-781-4948
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical