Individual provider Active NPI

Anne Charette Bijman, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1356827992
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020091 Issued in PA
Practice address
3440 Market St Ste 200
Philadelphia, PA 19104-3336
Phone
(267) 250-4790
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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 SW133652 PA
Clinical Social Worker 1041C0700X CW020091 PA Primary

Addresses

Primary practice location

3440 Market St Ste 200
Philadelphia, PA 19104-3336

Mailing address

3440 Market St Ste 200
Philadelphia, PA 19104-3336
Phone (267) 250-4790

Other names 1

  • Anne Charette Vanasse Former name

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
SW133652PAMDSocial Worker
CW020091PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Childrens Hospital of Philadelphia Practice Association 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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1356827992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 MARKET ST STE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043336",
            "telephone_number": "267-250-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 MARKET ST STE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043336",
            "telephone_number": "267-250-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIJMAN",
        "first_name": "ANNE",
        "middle_name": "CHARETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW133652",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "VANASSE",
            "middle_name": "CHARETTE",
            "credential": "LSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.