Provider Demographics
NPI:1497964258
Name:CARTER, TONI RACHELL (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:TONI
Middle Name:RACHELL
Last Name:CARTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10214 HOBKIRK DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63137-3744
Mailing Address - Country:US
Mailing Address - Phone:314-869-2035
Mailing Address - Fax:314-869-4762
Practice Address - Street 1:1385 HARKEE
Practice Address - Street 2:
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63031
Practice Address - Country:US
Practice Address - Phone:314-831-1533
Practice Address - Fax:314-831-1391
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0040041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical