Individual provider Active NPI

Charen Pasky, LCSW

  • Clinical Social Worker
  • Erie, PA
National Provider Identifier
1487954194
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018985 Issued in PA
Practice address
1338 E 38TH St
Erie, PA 16504-3018
Phone
(814) 825-2930
Fax
(814) 825-2964
NPI assigned
Oct 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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 SW125173 PA
Clinical Social Worker 1041C0700X CW018985 PA Primary

Addresses

Primary practice location

1338 E 38TH St
Erie, PA 16504-3018

Mailing address

4320 Dexter Ave
Erie, PA 16504-2444
Phone (814) 825-2930

Other names 1

  • Charen Blount Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW125173PAMDSocial Worker
CW018985PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Abcs of Building Better Lives LLC CurrentSince Mar 23, 2016 Accepting new patients

Locations

1338 E 38th St
Erie, PA 16504
Phone (814) 825-2930

4320 Dexter Ave
Erie, PA 16504
Phone (814) 825-2930

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1487954194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 DEXTER AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165042444",
            "telephone_number": "814-825-2930",
            "fax_number": "814-825-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165043018",
            "telephone_number": "814-825-2930",
            "fax_number": "814-825-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASKY",
        "first_name": "CHAREN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW125173",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAREN",
            "last_name": "BLOUNT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.