Provider Demographics
NPI:1225275464
Name:CARTER, DONALD L (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:L
Last Name:CARTER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 MARKET DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114-8132
Mailing Address - Country:US
Mailing Address - Phone:405-951-3817
Mailing Address - Fax:405-951-3916
Practice Address - Street 1:701 MARKET DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-8132
Practice Address - Country:US
Practice Address - Phone:405-951-3817
Practice Address - Fax:405-951-3916
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-09
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK01711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical