Carter, Martha Susan

Carter, Martha Susan is an individual health care provider with primary practice located at 2925 Chicago Ave , Minneapolis MN 55407-1321. She recently has 2 registered licenses in different health care specialties including 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, Martha Susan can be contacted via phone (612) 863-8511.

Contact Information

Primary practice address
2925 Chicago Ave Minneapolis MN 55407-1321
Phone: (612) 863-8511
Fax: (612) 863-8516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 15337 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 15337 Minnesota

Profile Details

NPI number 1902883283
LBN Legal business name Carter, Martha Susan
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Jan 4th, 2018 - about 6 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 1902883283 NPPES
Minnesota MEDICAID 176648100
Minnesota Other 200RICA

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