Individual provider Active NPI

Charlette Kay Carlotto, LICSW

  • Clinical Social Worker
  • Fridley, MN
National Provider Identifier
1043301062
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1023 Issued in MN
Practice address
6401 University Ave NE
Suite 304
Fridley, MN 55432-4344
Phone
(651) 769-6250
Fax
(651) 769-6299
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1023 MN Primary

Addresses

Primary practice location

6401 University Ave NE
Suite 304
Fridley, MN 55432-4344

Mailing address

2497 7TH Ave E
Suite 101
North St Paul, MN 55109-2496
Phone (651) 769-6437

Other identifiers 1

IdentifierTypeStateIssuer
5535537300MedicaidMN

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1023MNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Bhsi, LLC PastSince Oct 10, 2012 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043301062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2497 7TH AVE E",
            "address_2": "SUITE 101",
            "city": "NORTH ST PAUL",
            "state": "MN",
            "postal_code": "551092496",
            "telephone_number": "651-769-6437",
            "fax_number": "651-769-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 UNIVERSITY AVE NE",
            "address_2": "SUITE 304",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554324344",
            "telephone_number": "651-769-6250",
            "fax_number": "651-769-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLOTTO",
        "first_name": "CHARLETTE",
        "middle_name": "KAY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "1023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5535537300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.