Provider Demographics
NPI:1669844403
Name:CARTER, ANGELA S I (LMSW)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:S
Last Name:CARTER
Suffix:I
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:NA
Other - Middle Name:NA
Other - Last Name:NA
Other - Suffix:I
Other - Last Name Type:Former Name
Other - Credentials:NA
Mailing Address - Street 1:2733 JARED LN
Mailing Address - Street 2:NA
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-5880
Mailing Address - Country:US
Mailing Address - Phone:504-341-6904
Mailing Address - Fax:504-821-8185
Practice Address - Street 1:2740 IBERVILLE ST
Practice Address - Street 2:NA
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119
Practice Address - Country:US
Practice Address - Phone:504-821-8184
Practice Address - Fax:504-821-8185
Is Sole Proprietor?:No
Enumeration Date:2015-10-20
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
LA5984104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator