Provider Demographics
NPI:1215401195
Name:CARTER, ANIKA NAKIA (LMSW)
Entity Type:Individual
Prefix:
First Name:ANIKA
Middle Name:NAKIA
Last Name: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 1:192 BRADHURST AVE
Mailing Address - Street 2:#11
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10039-1408
Mailing Address - Country:US
Mailing Address - Phone:916-613-3928
Mailing Address - Fax:
Practice Address - Street 1:192 BRADHURST AVE APT 11
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10039-1408
Practice Address - Country:US
Practice Address - Phone:916-613-3928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health