Active NPI
Charae Bland, THERAPIST
- Social Worker
- Gary, IN
National Provider Identifier
1245980291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 4747 W 24TH Ave
Gary, IN 46406-2821 - Phone
- (219) 240-8615
- Fax
- (219) 977-1197
- NPI assigned
- Mar 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
4747 W 24TH Ave
Gary, IN 46406-2821
Mailing address
541 S Union St Apt 204
Gary, IN 46403-3243
Phone (219) 506-3116
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cbland@edgewaterhealth.org | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648080000000",
"number": "1245980291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 S UNION ST APT 204",
"city": "GARY",
"state": "IN",
"postal_code": "464033243",
"telephone_number": "219-506-3116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4747 W 24TH AVE",
"city": "GARY",
"state": "IN",
"postal_code": "464062821",
"telephone_number": "219-240-8615",
"fax_number": "219-977-1197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAND",
"first_name": "CHARAE",
"name_prefix": "Ms.",
"credential": "THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-24",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cbland@edgewaterhealth.org",
"affiliation": "N",
"endpointDescription": "business email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4747 W 24th Ave",
"city": "Gary",
"state": "IN",
"country_code": "US",
"postal_code": "464062821",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.