Individual provider Active NPI

Charlotte Bareiss, LCSW

  • Clinical Social Worker
  • Stamford, CT
National Provider Identifier
1194511949
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
093761 Issued in NY
Practice address
113 Old North Stamford Rd
Stamford, CT 06905-3964
Phone
(203) 247-2343
NPI assigned
Apr 17, 2025
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14692 CT
Clinical Social Worker 1041C0700X 093761 NY Primary

Addresses

Primary practice location

113 Old North Stamford Rd
Stamford, CT 06905-3964

Mailing address

113 Old North Stamford Rd
Stamford, CT 06905-3964
Phone (203) 247-2343

Other practice location 1

353 Lexington Ave
New York, NY 10016-0941
Phone (203) 247-2343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
093761NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Bareiss LCSW, LLC Clinical CurrentSince Apr 20, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1194511949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 OLD NORTH STAMFORD RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069053964",
            "telephone_number": "203-247-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 OLD NORTH STAMFORD RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069053964",
            "telephone_number": "203-247-2343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100160941",
            "country_code": "US",
            "telephone_number": "203-247-2343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAREISS",
        "first_name": "CHARLOTTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "14692",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.