Carter, Beverly Ann

Carter, Beverly Ann is an individual health care provider with primary practice located at 2120 S. Mcclintock Dr. Ste. 105, Tempe AZ 85282. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Carter, Beverly Ann can be contacted via phone (480) 804-0326.

Contact Information

Primary practice address
2120 S. Mcclintock Dr. Ste. 105 Tempe AZ 85282
Phone: (480) 804-0326
Fax: (480) 804-0083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LMSW-12408 Arizona
Behavioral Health & Social Service Providers / Social Worker 104100000X 385HR2055X Arizona
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-15345 Arizona

Profile Details

NPI number 1447572128
LBN Legal business name Carter, Beverly Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2010
Last updated Apr 23rd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447572128 NPPES
Arizona MEDICAID 804959

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