Anna Stasia Charboneau

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

509 Oak Ridge Way E Apt 5
West Fargo, ND 58078-2946

Phone

(701) 893-8068

Fax

(701) 425-0419

NPI assigned

Jun 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Innova Counseling Services PLLC

  • Clinical Social Worker
  • West Fargo, ND
  • NPI 1649049412
  NPD

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1053050310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OAK RIDGE WAY E APT 5",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580782946",
            "telephone_number": "701-893-8068",
            "fax_number": "701-425-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OAK RIDGE WAY E APT 5",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580782946",
            "telephone_number": "701-893-8068",
            "fax_number": "701-425-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARBONEAU",
        "first_name": "ANNA",
        "middle_name": "STASIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Claire Carter
• Kristi C Cassola, RD
• Angela M Cavett, PH.D.
• Cindy Cervantes, B.A PSYCHOLOGY
• Kelsea Chapin
• Cassandra Charboneau
• Raquel Charboneau
• Gericka Charbonneau
• Ranada R Charley
• Kari Chitty

• Social Worker in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.