Individual provider Active NPI

Charlotte E Wilkins, LCSW

  • Clinical Social Worker
  • Hartford, CT
National Provider Identifier
1518959592
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003729 Issued in CT
Practice address
1477 Park St
Suite 14
Hartford, CT 06106-2235
Phone
(860) 402-9333
Fax
(860) 499-5477
NPI assigned
Aug 16, 2005
Last updated
Aug 26, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 003729 CT Primary

Addresses

Primary practice location

1477 Park St
Suite 14
Hartford, CT 06106-2235

Mailing address

1477 Park St
Suite 14
Hartford, CT 06106-2235
Phone (860) 402-9333

Other identifiers 1

IdentifierTypeStateIssuer
003729OtherCTLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003729CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clementine Counseling PastSince May 7, 2023 Accepting new patients
Women's Center for Psychotherapy,LLC Clinical PastSince Jun 13, 2013 Accepting new patients

Organizations & group practices 2

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1518959592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 PARK ST",
            "address_2": "SUITE 14",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062235",
            "telephone_number": "860-402-9333",
            "fax_number": "860-499-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 PARK ST",
            "address_2": "SUITE 14",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062235",
            "telephone_number": "860-402-9333",
            "fax_number": "860-499-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "CHARLOTTE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "003729",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.