- Practice location
- 244 NW Kingwood Ave, Redmond, OR 97756-1688
- Phone
- 541-322-7500
- Fax
- 541-322-7565
- Last updated
- July 16, 2025
Shakari Carson is a Social Worker, Clinical based in Redmond, OR. Shakari Carson practices in Redmond, OR and has the professional credentials of LCSW. The NPI Number for Shakari Carson is 1063148690 and holds a License No. L16679 (OR). The current practice location address for Shakari Carson is 244 NW Kingwood Ave, Redmond, OR 97756-1688 and can be reached out via phone at 541-322-7500 and via fax at 541-322-7565.
Provider Profile Details
- NPI Number
- 1063148690
- Provider Name
- Shakari Carson
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 244 NW Kingwood Ave, Redmond, OR 97756-1688
- Phone Number
- 541-322-7500
- Fax Number
- 541-322-7565
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 26, 2022
- Last Update Date
- July 16, 2025
- Certification Date
- July 16, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 244 NW Kingwood Ave
Redmond, OR 97756-1688 - City
- Redmond
- State
- Oregon
- Zip
- 97756-1688
- Phone Number
- 541-322-7500
- Fax Number
- 541-322-7565
Provider Business Mailing Address Details
- Address
- 2577 NE Courtney Dr
Bend, OR 97701-7752 - City
- Bend
- State
- OR
- Zip
- 97701-7752
- Phone Number
- 541-322-7500
- Fax Number
- 541-322-7565
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- L16679
- License State (2)
- OR
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shakari Carson, LCSW?
The NPI number of Shakari Carson, LCSW is 1063148690. It was assigned on July 26, 2022 and is currently active in the NPPES registry.
What is the specialty of Shakari Carson, LCSW?
Shakari Carson, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in OR under license number L16679.
Where does Shakari Carson, LCSW practice?
The practice location is 244 NW Kingwood Ave, Redmond, OR 97756-1688. The office can be reached at 541-322-7500 (phone) or 541-322-7565 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063148690 directly on the NPPES registry website.