| Doctor Name: | MR. JOHN STEPHEN CARPENTER |
| NPI Number: | 1083792451 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW, LCSW |
| License Number: | SW000939 |
| Business Practice Address: | 590 W Pacific St Branson, MO - 656162742 |
| Business Phone Number: | 4173352080 |
| Business Fax Number: | 4173363583 |
| Mailing Address: | Po Box 14517, SPRINGFIELD |
| State: | MO |
| Postal Code: | 658140517 |
| Phone Number: | 4174250065 |
| Fax Number: | 4173358566 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 08/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW000939 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |