Dickyi Dolker Charwathakyi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW76569

Practice address

1477 Lincoln Ave
San Rafael, CA 94901-2028

Phone

(415) 459-2395

NPI assigned

Sep 9, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Center Point, Inc

  • Substance Abuse Rehabilitation Facility
  • San Rafael, CA
  • NPI 1851510440
  NPD (past)

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495670400000",
    "number": "1437466695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 WILLOW PASS RD",
            "address_2": "SUITE 200",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202028",
            "telephone_number": "925-521-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 LINCOLN AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012028",
            "telephone_number": "415-459-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARWATHAKYI",
        "first_name": "DICKYI",
        "middle_name": "DOLKER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2017-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "ASW00028808",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "LCSW76569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yung-Ching Chang, RPH
• Change Academy at Lake of the Ozarks (Embark Behavioral Health)
• Siraphob Chansangavej, MD
• Jeffrey Vaughn Chaplin, P.T.
• Donna Chapman, RADC
• Chase Kotula Dental Partnership (Marin Dental Care)
• Steven S Chase, DDS
• Leslie Frances Chatham, PH.D.
• Chau Dental Corporation
• Johnny Chau, PHARMD

• Clinical Social Worker in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; 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.