Provider Demographics
NPI:1578384863
Name:CARLES, CARTER (LSW)
Entity type:Individual
Prefix:
First Name:CARTER
Middle Name:
Last Name:CARLES
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4060 CAMBRONNE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-1661
Mailing Address - Country:US
Mailing Address - Phone:814-937-8317
Mailing Address - Fax:
Practice Address - Street 1:4060 CAMBRONNE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-1661
Practice Address - Country:US
Practice Address - Phone:814-937-8317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW141811104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker