Karen D Charles, MSW;LCSW;C-ASWCM

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-10704 Issued in AZ

Practice address

935 E Main St Ste 101
Mesa, AZ 85203-8849

Phone

(480) 615-5921

Fax

(480) 615-5921

NPI assigned

Jul 21, 2009

Sex

Female

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)

Enrolled

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1407086754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 E MAIN ST STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038849",
            "telephone_number": "480-615-5921",
            "fax_number": "480-615-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 E MAIN ST STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038849",
            "telephone_number": "480-615-5921",
            "fax_number": "480-615-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "KAREN",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "MSW;LCSW;C-ASWCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-10704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Chapman
• Zinia Danyelle Chappell
• Reshawna L Chapple, M.S.W.
• Charina Tecson MD PC
• Charis Wellness, LLC
• Tess C Charles, PA-C
• Julius Ray Charlie, M.D.
• Megan Charlton, OTD, CHT
• Amanda Chase, OTR-L
• Tara Lynne Chase, LAC, MS, NCC

• Clinical Social Worker in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.