Charisma S Pryor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149023975 Issued in IL

Practice address

1755 Park St Ste 200
Naperville, IL 60563-8404

Phone

(708) 480-2705

Fax

(630) 470-9342

NPI assigned

Nov 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Inspirations of Courage, PLLC

  • Clinical Social Worker
  • Naperville, IL
  • NPI 1629734991
  NPD Authorized official

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1093471575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5392",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605675392",
            "telephone_number": "708-480-2705",
            "fax_number": "630-470-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 PARK ST STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638404",
            "telephone_number": "708-480-2705",
            "fax_number": "630-470-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "CHARISMA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149023975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "2601:249:1000:40b0:b922:da41:daf9:de08",
            "affiliation": "N",
            "endpointDescription": "Comcast internet service",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2522 Carrolwood Rd",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605408395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laura M Provancal, LCSW
• Maria Anne Provancal, OTR/L
• Providence Counseling Associates, LLC
• Providentia Counseling Group LLC
• Pry Rehab Services Inc
• Jaroslaw S Przybyl, MD
• Psychelp Counseling & Psychiatry
• Psycholegal & Clinical Assessment Services, Inc
• Psychological Services of Naperville
• Psychology Consultants PC

• Clinical Social Worker in Naperville, IL
• Providers in Naperville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.