Alicia M. Charles, M.S.W.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

RC00015186 Issued in WA

Practice address

11110 Conine Ave SE
Olympia, WA 98513-9603

Phone

(253) 922-5269

Fax

(253) 922-0910

NPI assigned

Sep 24, 2008

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

Other identifiers 1

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": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1184874265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 CONINE AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985139603",
            "telephone_number": "253-922-5269",
            "fax_number": "253-922-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 CONINE AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985139603",
            "telephone_number": "253-922-5269",
            "fax_number": "253-922-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "ALICIA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00015186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1980994",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Pamela Chapel, SLP
• Amanda Jane Chapman
• Bethany Chapman
• Lisa Lynn Chapman, MPT
• George L. Chappell, MD
• Shana Charles, ARNP
• Vanessa Louise Charles, LMP
• Holly Chase
• Elandra Evelyn Chatman
• Bethany Megan Grace Chau, LMT

• Mental Health Counselor in Olympia, WA
• Providers in Olympia, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.