Individual provider Active NPI

Aisha N Charles, JD, LCSW, LICSW

  • Clinical Social Worker
  • Roswell, NM
National Provider Identifier
1821760588
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
67577 Issued in TX
Practice address
4 Robins Nest PL
Roswell, NM 88201-9511
Phone
(737) 238-0127
NPI assigned
Oct 1, 2021
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SX61458917 WA
Clinical Social Worker 1041C0700X SWB-2025-0376 NM
Clinical Social Worker 1041C0700X 67577 TX Primary

Addresses

Primary practice location

4 Robins Nest PL
Roswell, NM 88201-9511

Mailing address

5900 Balcones Dr Ste 5379
Austin, TX 78731-4257
Phone (737) 238-0127

Other practice location 1

1221 W Ben White Blvd Ste 210A
Austin, TX 78704-7182
Phone (512) 960-4533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Juris Doctor

State licenses

LicenseStateTypeSpecialty
67577TXMDProfessional Counselor
SWB-2025-0376NMMDClinical Social Worker
SX61458917WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfulness and Motivation LLC Clinical CurrentSince Mar 1, 2024 Accepting new patients

Locations

5900 Balcones Dr
Ste 5379
Austin, TX 78731

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1821760588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 5379",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "737-238-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ROBINS NEST PL",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882019511",
            "telephone_number": "737-238-0127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 W Ben White Blvd Ste 210A",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787047182",
            "country_code": "US",
            "telephone_number": "512-960-4533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "AISHA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "JD, LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SX61458917",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2025-0376",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "67577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.