Charisse Hales, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

134125703502 Issued in UT

Practice address

512 W 750 S Ste a
Woods Cross, UT 84010-7221

Phone

(801) 935-8449

NPI assigned

Jun 3, 2024

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

State licenses

Practice roles

Locations

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.

• Sol Recovery Community, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Woods Cross, UT
  • NPI 1215642103
  NPD
• Sol Recovery Community, Inc.

  • Case Management Agency
  • Woods Cross, UT
  • NPI 1871306225
  NPD

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1760223945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 E STRINGHAM AVE APT C114",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841093919",
            "telephone_number": "801-528-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W 750 S STE A",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840107221",
            "telephone_number": "801-935-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALES",
        "first_name": "CHARISSE",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "134125703502",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "UT",
            "license": "134125703502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "134125703502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Gianchetta
• Joy Gibb, ABOC
• Grandview Family Counseling
• Grandview Family Counseling
• Hannah Nicole Grieco, MSW-TRAINEE/STUDENT
• Patricia Hales, LMT, MMP
• Grace E Hansen, MSW-TRAINEE/STUDENT
• Healing Hive
• Healing Hive
• Holding Space Counseling PLLC

• Clinical Social Worker in Woods Cross, UT
• Providers in Woods Cross, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.