Individual provider Active NPI

Charisse Regene Bowman, LCSW

  • Social Worker
  • Coal Center, PA
National Provider Identifier
1437175304
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW123374 Issued in PA
Practice address
1 Intermediate Unit Dr
Coal Center, PA 15423-1000
Phone
(724) 938-3241
NPI assigned
Jul 14, 2006
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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 SW123374 PA Primary
Clinical Social Worker 1041C0700X CW024834 PA

Addresses

Primary practice location

1 Intermediate Unit Dr
Coal Center, PA 15423-1000

Mailing address

342 N Jefferson Ave
Canonsburg, PA 15317-1247
Phone (724) 469-2171

Other names 1

  • Charisse Regene Martin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251010001060 PA Practitioner - Clinical Social Worker 1153828538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

111 Roberts Rd
Suite 150
Grindstone, PA 15442-2104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW123374PAMDSocial Worker
CW024834PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Western PA Behavioral Health Resources LLC CurrentSince Sep 1, 2025 Accepting new patients
Intermediate Unit 1 CurrentSince Aug 25, 2025 Accepting new patients
Intermediate Unit 1 PastSince Mar 11, 2025 Accepting new patients
Milestone Centers Inc. PastSince Dec 17, 1990 Accepting new patients

Locations

1 Intermediate Unit Dr
Coal Center, PA 15423
Phone (724) 938-3241

111 Roberts Rd
Ste 150
Grindstone, PA 15442
Phone (724) 785-4346

707 Ligonier St
Latrobe, PA 15650
Phone (724) 537-9515

5301 Grove Rd
Ste M123
Pittsburgh, PA 15236
Phone (412) 677-9100

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/milestonepa/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1437175304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 N JEFFERSON AVE",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171247",
            "telephone_number": "724-469-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INTERMEDIATE UNIT DR",
            "city": "COAL CENTER",
            "state": "PA",
            "postal_code": "154231000",
            "telephone_number": "724-938-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "CHARISSE",
        "middle_name": "REGENE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW123374",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARISSE",
            "last_name": "MARTIN",
            "middle_name": "REGENE",
            "credential": "LSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coal Center, PA

Sources for this page

Verify at the official NPI Registry.