Individual provider Active NPI

Charese Lakisa Josie, LCSW

  • Clinical Social Worker
  • Portsmouth, VA
National Provider Identifier
1245666288
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006053 Issued in VA
Practice address
500 Washington St Ste a
Portsmouth, VA 23704-3508
Phone
(757) 613-8801
NPI assigned
Sep 23, 2013
Reactivated
Mar 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0904006053 VA
Clinical Social Worker 1041C0700X 0904006053 VA Primary

Addresses

Primary practice location

500 Washington St Ste a
Portsmouth, VA 23704-3508

Mailing address

500 Washington St Ste a
Portsmouth, VA 23704-3508
Phone (757) 613-8801

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
0904006053VAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CJ Counseling and Consulting Services, LLC Clinical Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1245666288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WASHINGTON ST STE A",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043508",
            "telephone_number": "757-613-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WASHINGTON ST STE A",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043508",
            "telephone_number": "757-613-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSIE",
        "first_name": "CHARESE",
        "middle_name": "LAKISA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2019-07-08",
        "deactivation_date": "2014-04-21",
        "reactivation_date": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0904006053",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.