Providential Solutions LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PROVIDENTIAL SOLUTIONS LLC

Doing business as

Providential Solutions

Practice address

631 S Richard Allen CT # 104
Spokane, WA 99202-2345

Phone

(509) 795-0150

Fax

(866) 635-0840

NPI assigned

Jan 12, 2024

Last updated

Jan 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charina Carothers, LICSWNPI 1639786262

Title

Owner

Phone

(509) 795-0150

Specialties & licenses 1

Addresses

Other names 1

• Providential Solutions Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charina Carothers, MSW, LICSW

  • Clinical Social Worker
  • Spokane, WA
  • NPI 1639786262
  NPD Authorized official

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1275304651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 S RICHARD ALLEN CT # 104",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022345",
            "telephone_number": "509-795-0150",
            "fax_number": "866-635-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 S RICHARD ALLEN CT # 104",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022345",
            "telephone_number": "509-795-0150",
            "fax_number": "866-635-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENTIAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "CAROTHERS",
        "authorized_official_first_name": "CHARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-795-0150",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providential Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providence Sacred Heart Medical Center
• Providence Senior Home LLC
• Anna Edith Pruett, OT
• Derika Lacole Pruitt
• Kelsey Elizabeth Pruitt, PA-C
• Oksana Prychyna, MD
• Barbara Lynn Pryde, LMP

• Clinical Social Worker in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.