Kim M Mautz Charpia, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1883 Issued in SC

Practice address

202 Salisbury Dr.
Summerville, SC 29483

Phone

(843) 851-5824

Fax

(843) 851-7560

NPI assigned

Jan 11, 2007

Last updated

Nov 6, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kim M Charpia Other name

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1760532022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 SALISBURY DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294834345",
            "telephone_number": "843-851-5824",
            "fax_number": "843-851-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 SALISBURY DR.",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29483",
            "telephone_number": "843-851-5824",
            "fax_number": "843-851-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUTZ CHARPIA",
        "first_name": "KIM",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "1883",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "68",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "CHARPIA",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marian Katarina Mathis, PA-C
• Mason Reese Mathis III, PHARMD
• Anna Matrachisia, M.D.
• Amanda Matsumoto, CCC-SLP
• Craig Peter Mauriello, MSW, LMSW
• Madeline Maynor, DPT
• Jillian Jenay Mays
• Joyce Elizabeth Drew Mazur
• Latrina Denise Mazyck, RN
• Malcolm Mazyck

• Social Worker in Summerville, SC
• Providers in Summerville, SC by specialty
• Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.