Charles Woods Pearson, M.DIV., L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076666 Issued in NY

Practice address

158 E 35TH St
Postgraduate Center for Mental Health
New York, NY 10016-4102

Phone

(212) 971-3200

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1366553216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 E 35TH ST",
            "address_2": "POSTGRADUATE CENTER FOR MENTAL HEALTH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164102",
            "telephone_number": "212-971-3200",
            "fax_number": "212-244-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 E 35TH ST",
            "address_2": "POSTGRADUATE CENTER FOR MENTAL HEALTH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164102",
            "telephone_number": "212-971-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "CHARLES",
        "middle_name": "WOODS",
        "name_prefix": "Mr.",
        "credential": "M.DIV., L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Wint Pearson, M.D.
• Ashley Lauren Pearson, LMHC
• Bradley Pearson
• Caitlyn Pearson, LMFT
• Chad David Pearson, L.AC.
• Charlotte Swarna Pearson, MD
• Desiree Pearson, PH.D.
• Haley Hofmaster Pearson
• Hillary Pearson, MD
• Janaisia Pearson

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.