Provider Demographics
NPI:1962584482
Name:CARTER, LAUREN LOUISE (LCSW-C, LCADC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:LOUISE
Last Name:CARTER
Suffix:
Gender:F
Credentials:LCSW-C, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2336 GODDARD PKWY
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-1126
Mailing Address - Country:US
Mailing Address - Phone:410-334-6961
Mailing Address - Fax:410-334-6362
Practice Address - Street 1:29520 CANVASBACK DR
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-7124
Practice Address - Country:US
Practice Address - Phone:410-822-5007
Practice Address - Fax:410-822-5569
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCA 217101YA0400X
MD085021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDLM49EAOtherCAREFIRST LOCAL
MD609550001Medicaid
MD1659630523Medicaid
MDR968OtherCAREFIRST NATIONAL ACCOUNT
MD4211006 00Medicaid
MD609550002Medicaid
MD522156095OtherCOMMERCIAL INSURANCE
MD1093074064Medicaid
MD609550002Medicaid