Charlotte Nash, LCSW

Key facts

NPI

1639610249

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

CSW006883 (GA)

Practice address

502 Gloucester St Ste 204
Brunswick, GA 31520-7092

Phone

(912) 580-9580

Fax

(912) 289-9389

NPI assigned

Mar 15, 2017

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Radiant Counseling, LLC Mental Health Counselor · Brunswick, GA · NPI 1043722705
  Medicare reassignment Care Compare group NPD GA

Medicare Care Compare profile

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Radiant Counseling, LLC (2 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 11, 2023.

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1639610249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 GLOUCESTER ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315207014",
            "telephone_number": "912-580-9580",
            "fax_number": "912-289-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 GLOUCESTER ST STE 204",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315207092",
            "telephone_number": "912-580-9580",
            "fax_number": "912-289-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "CHARLOTTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARRIE LIGON",
            "identifier": "1689110249",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Brunswick, GA · Clinical Social Worker in Georgia