Rebecca Lynne Charles, LLMSW
Individual provider Active NPI Clinical Social Worker · Stanton, MI
NPI 1356983407 · NPPES record last updated Oct 10, 2019
Key facts
- NPI
- 1356983407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801105799 (MI)
- Practice address
- 611 N State St
Stanton, MI 48888-9702 - Phone
- (989) 831-7520
- Fax
- (989) 831-7578
- NPI assigned
- Oct 10, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801105799 | MI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801105799 | MI | Yes |
Addresses
Primary practice location
611 N State St
Stanton, MI 48888-9702
Mailing address
611 N State St
Stanton, MI 48888-9702
Phone (989) 831-7520
Other providers in Stanton, MI
- Ashleigh B Cardenas
- Andrew D Carltonkoval
- Melanie Cazier
- Kayla Ruby Chamberlain
- Danielle Chapin
- Autumn Rae Chester
- Penny Christensen
- Kayla A Clark
- Stephanie Clark
- Clay Health Services, P.C.
All providers in Stanton, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.