Provider Demographics
NPI:1295195287
Name:CARTER, SAMANTHA (BSW)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 MARION ST
Mailing Address - Street 2:APT 5
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-4745
Mailing Address - Country:US
Mailing Address - Phone:617-543-2119
Mailing Address - Fax:
Practice Address - Street 1:97 MARION ST
Practice Address - Street 2:APT 5
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-4745
Practice Address - Country:US
Practice Address - Phone:617-543-2119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-03
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker