Charlise C Joaen, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S-1701396 Issued in OH

Practice address

50 Greenwood LN
Springboro, OH 45066-3033

Phone

(937) 746-1154

Fax

(937) 746-8523

NPI assigned

Jan 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1043757586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 COOK RD",
            "address_2": "SUITE 400",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450369600",
            "telephone_number": "513-228-7800",
            "fax_number": "513-725-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GREENWOOD LN",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450663033",
            "telephone_number": "937-746-1154",
            "fax_number": "937-746-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOAEN",
        "first_name": "CHARLISE",
        "middle_name": "C",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "S-1610527-TRNE",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S-1701396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Lynn Ivey, MSW, LISW
• Robert Nathaniel Jackson III
• Barbara Jacobs, OTR/L
• Jessica Jansen, ATC
• Anil H. Jhangiani, M.D.
• John M Duchak MD Cardiology LLC
• Jane Anne Johnson, LSW
• Sara R Johnson, LSW
• Amanda S Jones, PNP
• Tonya Jones, MED, BCBA

• Clinical Social Worker in Springboro, OH
• Providers in Springboro, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; 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.