Individual provider Active NPI

Charlene Dejoseph, COTA/L

  • Occupational Therapy Assistant
  • Moncks Corner, SC
National Provider Identifier
1710554142
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
4881 Issued in SC
Practice address
421 Barony St Ste 3
Moncks Corner, SC 29461-3145
Phone
(843) 790-4093
NPI assigned
Jun 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X
Occupational Therapy Assistant 224Z00000X 4881 SC Primary

Addresses

Primary practice location

421 Barony St Ste 3
Moncks Corner, SC 29461-3145

Mailing address

PO Box 51025
Summerville, SC 29485-1025

Other practice location 1

9730 Dorchester Rd Unit 206
Summerville, SC 29485-9034
Phone (843) 594-3032

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hears 2 You LLC CurrentSince Jan 19, 2025 Accepting new patients
Palmetto Hearing Care Center, LLC CurrentSince Jun 1, 2021 Accepting new patients
Vantage Early Intervention, LLC CurrentSince Aug 17, 2025 Accepting new patients
Vantage Speech & Language LLC CurrentSince Aug 17, 2025 Accepting new patients

Locations

421 Barony St
Ste 3
Moncks Corner, SC 29461
Phone (843) 513-4960

9730 Dorchester Rd
Unit 206
Summerville, SC 29485
Phone (843) 364-6361

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1710554142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51025",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294851025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 BARONY ST STE 3",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613145",
            "telephone_number": "843-790-4093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9730 Dorchester Rd Unit 206",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294859034",
            "country_code": "US",
            "telephone_number": "843-594-3032",
            "fax_number": "843-285-5921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEJOSEPH",
        "first_name": "CHARLENE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "4881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.