Active NPI
Charisse Regene Bowman, LCSW
- Social Worker
- Coal Center, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW123374
- Practice address
- 1 Intermediate Unit Dr
Coal Center, PA 15423-1000 - Phone
- (724) 938-3241
- NPI assigned
- Jul 14, 2006
- Last updated
- Feb 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW123374 | PA | MD | Social Worker |
| CW024834 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western PA Behavioral Health Resources LLC | Current | Accepting new patients | |
| Intermediate Unit 1 | Current | Accepting new patients | |
| Intermediate Unit 1 | Past | Accepting new patients | |
| Milestone Centers Inc. | Past | 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
- 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.
-
- Child & Adolescent Psychiatry Physician
- Grindstone, PA
- NPI 1841432184
-
- Local Education Agency (LEA)
- Coal Center, PA
- NPI 1881571677
-
- Local Education Agency (LEA)
- Coal Center, PA
- NPI 1598713497
-
- Community/Behavioral Health Agency
- Pittsburgh, PA
- NPI 1841218757
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.