Individual provider Active NPI

Andrea Muehlman Charlebois, L.C.S.W.

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1609089598
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6274 Issued in FL
Practice address
9380 S.W. 72 St.
Suite B-120
Miami, FL 33173-5454
Phone
(305) 274-3172
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW6274 FL Primary

Addresses

Primary practice location

9380 S.W. 72 St.
Suite B-120
Miami, FL 33173-5454

Mailing address

9722 S.W. 190 St.
Miami, FL 33157-7844
Phone (305) 232-4884

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW6274FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609089598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9722 S.W. 190 ST.",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331577844",
            "telephone_number": "305-232-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9380 S.W. 72 ST.",
            "address_2": "SUITE B-120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735454",
            "telephone_number": "305-274-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLEBOIS",
        "first_name": "ANDREA",
        "middle_name": "MUEHLMAN",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.