Charissa Marie Slater, LMSW
Individual provider Active NPI Social Worker · McConnell Afb, KS
NPI 1174207666 · NPPES record last updated Aug 28, 2025
Key facts
- NPI
- 1174207666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 57950 Leavenworth St
McConnell Afb, KS 67221-3505 - Phone
- (316) 759-5091
- NPI assigned
- Jun 14, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SC | Yes |
Addresses
Primary practice location
57950 Leavenworth St
McConnell Afb, KS 67221-3505
Mailing address
809 E Main St Apt 922
Lexington, SC 29072-3692
Phone (360) 561-1592
Other providers in McConnell Afb, KS
- Jenna Lynn Scholl
- Zachary William Schurch
- Melissa K Servis
- Lee D Shibley
- James Daniel Sigler
- Maddison Smith
- Jonathan David Taylor
- Ryan J Thordal
- Diane Todd
- Mark Truxillo
All providers in McConnell Afb, KS · Social Worker in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.