Elia Heidiann Charles, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50078580 Issued in DC

Practice address

9080 Beale Rd BLDG 623
Bethesda, MD 20889-5633

Phone

(301) 400-2284

NPI assigned

Jul 17, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ehc Therapeutic Services LLC

  • Mental Health Counselor
  • Alexandria, VA
  • NPI 1346737079
  NPD Authorized official

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1568692002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 BRANDYWINE ST SE",
            "address_2": "UNIT 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200323551",
            "telephone_number": "202-629-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9080 BEALE RD BLDG 623",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895633",
            "telephone_number": "301-400-2284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 S West St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223142851",
            "country_code": "US",
            "telephone_number": "202-618-0754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "ELIA",
        "middle_name": "HEIDIANN",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Tatum Chappell, PH.D.
• Robert Chappetta, COTA
• Tanner Charette, DO
• Charles F. Bahn, M.D.
• Charles H Troshinsky,MD PA
• Brandis Alysia Charlot, DO
• Charm City Anesthesia LLC
• Sarah Charmchi, LMSW
• Tina Charnoff, MSW
• Raghava V Charya, MD

• Clinical Social Worker in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.