Pax Charles, MSW, LSWAIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

9120 NE Vancouver Mall Drive
Ste #160
Vancouver, WA 98662-9401

Phone

(360) 891-5777

NPI assigned

Oct 7, 2021

Last updated

Nov 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Home Society of Washington

  dba Akin

  • Community/Behavioral Health Agency
  • Vancouver, WA
  • NPI 1063566867
  NPD (past)
• Kaiser Foundation Health Plan of the Northwest

  • Clinic/Center
  • Hillsboro, OR
  • NPI 1942718622
  NPD (past)
• Total Renal Care Inc

  dba Kelley Corners Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lake City, SC
  • NPI 1598204802
  NPD (past)

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1710649793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 NW 125TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852029",
            "telephone_number": "360-433-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 NE VANCOUVER MALL DRIVE",
            "address_2": "STE #160",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986629401",
            "telephone_number": "360-891-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "PAX",
        "credential": "MSW, LSWAIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark E Chapman, RC
• Sebastian Edward Charbonneau, MS, CCC-SLP
• Sean Charczenko
• Kimberly Kay Charest
• Charis Counseling Associates
• Michelle Kimberly Charley
• Nikki Marie Charlson
• Amy Charlton, OTR, CHT
• Diane Cathleen Charmley, RN,LMT
• Adrienne Charpentier, COTA/L

• Clinical Social Worker in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.