Charles W Washam Jr., D.MIN, MSW

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

119 Issued in KY

Practice address

2734 Chancellor Dr
Suite 202
Crestview Hills, KY 41017-3487

Phone

(859) 982-9009

Fax

(859) 341-3709

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465084800000",
    "number": "1750303475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 CHANCELLOR DR",
            "address_2": "SUITE 202",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173487",
            "telephone_number": "859-982-9009",
            "fax_number": "859-341-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2734 CHANCELLOR DR",
            "address_2": "SUITE 202",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173487",
            "telephone_number": "859-982-9009",
            "fax_number": "859-341-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHAM",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.MIN, MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2016-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003127",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "119",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000269",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "103679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Walsh, SLP
• Nicole Marie Warner, M.D.
• Amanda K Warren, MSW, CSW
• Joel M Warren III, M.D.
• Stephen Warrick, M.D.
• Danielle McKenzie Watt, OTR/L
• Debra Lynn Way, ST
• John Kendall Webb, M.D.
• Jonathan Eric Webster
• Mark M Wehrman, D.M.D.

• Marriage & Family Therapist in Crestview Hills, KY
• Providers in Crestview Hills, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2016; 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.