Organization Active NPI

Angie Charter, LCSW, LLC

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1730484254
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5319-C Issued in NV
Legal business name
ANGIE CHARTER, LCSW, LLC
Practice address
421 W Plumb LN
Suite a-5
Reno, NV 89509-3766
Phone
(775) 338-3786
Fax
(775) 453-1132
NPI assigned
Jan 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Ms. Angie Charter I, LCSW
Title
Owner
Phone
(775) 338-3786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 5319-C NV Primary

Addresses

Primary practice location

421 W Plumb LN
Suite a-5
Reno, NV 89509-3766

Mailing address

421 W Plumb LN
Suite a-5
Reno, NV 89509-3766
Phone (775) 338-3786

Other identifiers 1

IdentifierTypeStateIssuer
1003062027MedicaidNV

Other names 1

  • Presence Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

421 W Plumb Ln
Ste A5
Reno, NV 89509
Phone (775) 338-3786

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1730484254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W PLUMB LN",
            "address_2": "SUITE A-5",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093766",
            "telephone_number": "775-338-3786",
            "fax_number": "775-354-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W PLUMB LN",
            "address_2": "SUITE A-5",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093766",
            "telephone_number": "775-338-3786",
            "fax_number": "775-453-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGIE CHARTER, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "CHARTER",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-338-3786",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5319-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003062027",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presence Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.