Individual provider Active NPI

Charles Francis Schille, LICSW

  • Clinical Social Worker
  • Cambridge, MA
National Provider Identifier
1689719635
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1020625 Issued in MA
Practice address
124 Sherman St
Cambridge, MA 02140-3237
Phone
(617) 971-3680
Fax
(617) 522-8119
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
No

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 1020625 MA Primary

Addresses

Primary practice location

124 Sherman St
Cambridge, MA 02140-3237

Mailing address

124 Sherman St
Cambridge, MA 02140-3237
Phone (617) 971-3680

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
1020625MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689719635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SHERMAN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021403237",
            "telephone_number": "617-971-3680",
            "fax_number": "617-522-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SHERMAN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021403237",
            "telephone_number": "617-971-3680",
            "fax_number": "617-522-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLE",
        "first_name": "CHARLES",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1020625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

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.