Charlene K Behlow, LMSW/MDIV

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077499 Issued in NY

Practice address

1417 Millbrook TRL
Ann Arbor, MI 48108-5916

Phone

(917) 642-7963

NPI assigned

Jan 14, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Charlene K Jackson-McMichael Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1609107689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 MILLBROOK TRL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085916",
            "telephone_number": "917-642-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 MILLBROOK TRL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085916",
            "telephone_number": "917-642-7963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10921 197th St",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "NY",
            "postal_code": "114121707",
            "country_code": "US",
            "telephone_number": "917-642-7963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEHLOW",
        "first_name": "CHARLENE",
        "middle_name": "K",
        "credential": "LMSW/MDIV",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLENE",
            "last_name": "JACKSON-MCMICHAEL",
            "middle_name": "K",
            "credential": "LMSW/MDIV",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Stephen Behan, LLMSW
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• Behavioral Learning Solutions, LLC
• Preeti Behl, M.D.
• Stephanie Behme, DPM
• Elaine Behnke, PT
• Nicholas L Behunin, M.D.
• Islam Sami Beidoun
• Khalil Beidoun, PHARMD

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.