Charity Noel Weishar, LSW
Individual provider Active NPI Social Worker · Black Hawk, CO
NPI 1821680745 · NPPES record last updated Jan 24, 2024
Key facts
- NPI
- 1821680745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- LSW.0009924453 (CO)
- Practice address
- 53 Wallens PL
Black Hawk, CO 80422-4200 - Phone
- (773) 301-2947
- NPI assigned
- Feb 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW.0009924453 | CO | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW.0009924453 | CO | Yes |
Addresses
Primary practice location
53 Wallens PL
Black Hawk, CO 80422-4200
Mailing address
53 Wallens PL
Black Hawk, CO 80422-4200
Phone (773) 301-2947
Other providers in Black Hawk, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.