Provider Demographics
NPI:1679011605
Name:CARTER, RASHAAD (LCSW)
Entity Type:Individual
Prefix:
First Name:RASHAAD
Middle Name:
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 1:212A THAMES ST
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06340-3632
Mailing Address - Country:US
Mailing Address - Phone:860-969-4321
Mailing Address - Fax:
Practice Address - Street 1:212 THAMES ST
Practice Address - Street 2:SUITE A
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06340-3632
Practice Address - Country:US
Practice Address - Phone:860-287-1833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-10
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0100611041C0700X
CT1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical