Active NPI
Angela Michelle Charter, LISW
- Clinical Social Worker
- Sparks, NV
National Provider Identifier
1003062027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5319-C
- Practice address
- 2290 Matteoni Dr
Sparks, NV 89434-3483 - Phone
- (775) 338-3786
- NPI assigned
- Aug 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | X-06140 | NM | |
| Clinical Social Worker | 1041C0700X | 5319-C | NV | Primary |
Addresses
Primary practice location
2290 Matteoni Dr
Sparks, NV 89434-3483
Mailing address
2290 Matteoni Dr
Sparks, NV 89434-3483
Phone (775) 338-3786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X-06140 | NM | MD | Clinical Social Worker |
| 5319-C | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252022400000",
"number": "1003062027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2290 MATTEONI DR",
"city": "SPARKS",
"state": "NV",
"postal_code": "894343483",
"telephone_number": "775-338-3786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2290 MATTEONI DR",
"city": "SPARKS",
"state": "NV",
"postal_code": "894343483",
"telephone_number": "775-338-3786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARTER",
"first_name": "ANGELA",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-10",
"last_updated": "2009-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "X-06140",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "5319-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.