Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephanie Carter

Individual provider Clinical Social Worker · NPI 1124590971

Stephanie Carter is a Clinical Social Worker in Fremont, California. Qualified in 2001, 25 years ago. Practices with 3 Prong, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2018
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Practice location Address checks out

39159 Paseo Padre Pkwy Ste 121
Fremont, CA 94538-1600
Phone: (858) 228-7667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS22629 (CA)

Record details

NPI number1124590971
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 18, 2018
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023
Mailing address11160 Rancho Carmel Dr Ste 106, San Diego, CA 92128-4674

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice 3 Prong — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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