Individual provider Active NPI

Chari L Roberts, LISW

  • Clinical Social Worker
  • Caldwell, OH
National Provider Identifier
1871945444
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.7404-S Issued in OH
Practice address
18003 Woodsfield Rd # 2
Caldwell, OH 43724-9709
Phone
(740) 732-7036
Fax
(740) 732-7037
NPI assigned
Jul 7, 2016
Last updated
Jul 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.7404-S OH Primary

Addresses

Primary practice location

18003 Woodsfield Rd # 2
Caldwell, OH 43724-9709

Mailing address

18003 Woodsfield Rd # 2
Caldwell, OH 43724-9709
Phone (740) 732-7036

Other names 1

  • Chari L Thomas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20170328001704 OH Practitioner - Clinical Social Worker 8729363049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kentucky College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Ridge Behavioral Health Solutions LLCGroup PAC ID 5698927432, 7 clinicians

Practice addresses (Care Compare)

841 Steubenville Ave
Cambridge, OH 43725-2301
Phone (855) 692-7247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.7404-SOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Ohio Behavioral Health LLC CurrentSince Apr 1, 2017 Accepting new patients
Thompkins Treatment Past Accepting new patients

Locations

1515 E Broad St
Columbus, OH 43205
Phone (614) 251-6941

930 Bethesda Dr
Unit 4
Zanesville, OH 43701
Phone (740) 455-6202

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/midohiobh/r4/

Organizations & group practices 3

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": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1871945444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18003 WOODSFIELD RD # 2",
            "city": "CALDWELL",
            "state": "OH",
            "postal_code": "437249709",
            "telephone_number": "740-732-7036",
            "fax_number": "740-732-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18003 WOODSFIELD RD # 2",
            "city": "CALDWELL",
            "state": "OH",
            "postal_code": "437249709",
            "telephone_number": "740-732-7036",
            "fax_number": "740-732-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CHARI",
        "middle_name": "L",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.7404-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARI",
            "last_name": "THOMAS",
            "middle_name": "L",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Caldwell, OH

Sources for this page

Verify at the official NPI Registry.