Active NPI
Charles William Harrison Jr.
- Clinical Social Worker
- Clinton Township, MI
National Provider Identifier
1518523877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801114502
- Practice address
- 16200 19 Mile Rd
Clinton Township, MI 48038-1103 - Phone
- (586) 276-8000
- NPI assigned
- May 13, 2019
- Last updated
- Sep 18, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801114502 | MI | Primary |
| Social Worker | 104100000X | 6801104059 | MI |
Addresses
Primary practice location
16200 19 Mile Rd
Clinton Township, MI 48038-1103
Mailing address
36371 Meadowbrook St
Livonia, MI 48154-5128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14507 Woodward Ave
Highland Park, MI 48203-2905
Phone (313) 723-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801104059 | MI | MD | Social Worker |
| 6801114502 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh-Mi Physicians Group PC | Current | Accepting new patients | |
| Osh Mi Physicians Group, PC | Current | Accepting new patients | |
| Osh-Mi Physicians Group PC | Social Worker | Past | Accepting new patients |
Locations
102 W Pierson Rd
Flint, MI 48505
Phone (810) 222-3033
14507 Woodward Ave
Highland Park, MI 48203
Phone (313) 306-5496
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Detroit, MI
- NPI 1700236478
-
- Primary Care Clinic/Center
- Memphis, TN
- NPI 1720635790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1518523877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36371 MEADOWBROOK ST",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481545128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16200 19 MILE RD",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381103",
"telephone_number": "586-276-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "CHARLES",
"middle_name": "WILLIAM",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-13",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801114502",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801104059",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.