Organization Active NPI

Charlene M. Cross Licensed Clinical Social Worker PLLC

  • Clinical Social Worker
  • Windham, NY
National Provider Identifier
1376301390
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHARLENE M. CROSS LICENSED CLINICAL SOCIAL WORKER PLLC
Practice address
11111 Route 23 Ste 3
Windham, NY 12496-1510
Phone
(585) 481-5270
NPI assigned
Mar 13, 2024
Last updated
Jul 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Charlene Cross, LCSWNPI 1699300012
Title
Mental Health Therapist
Phone
(518) 321-5369

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

11111 Route 23 Ste 3
Windham, NY 12496-1510

Mailing address

PO Box 176
Windham, NY 12496-0176
Phone (585) 481-5270

Other practice location 1

9 Mitchell Ave
Binghamton, NY 13903-1619
Phone (607) 246-3657

National Provider Directory

National Provider Directory

Locations

260 Kings Mall Ct
Ste 177
Kingston, NY 12401
Phone (585) 481-5270

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1376301390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 176",
            "city": "WINDHAM",
            "state": "NY",
            "postal_code": "124960176",
            "telephone_number": "585-481-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 ROUTE 23 STE 3",
            "city": "WINDHAM",
            "state": "NY",
            "postal_code": "124961510",
            "telephone_number": "585-481-5270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Mitchell Ave",
            "address_purpose": "LOCATION",
            "city": "Binghamton",
            "state": "NY",
            "postal_code": "139031619",
            "country_code": "US",
            "telephone_number": "607-246-3657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHARLENE M. CROSS LICENSED CLINICAL SOCIAL WORKER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "518-321-5369",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.