Charles Mountain, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50081404 Issued in DC

Practice address

900 23Rd St NW
Washington, DC 20037-2342

Phone

(202) 715-4822

NPI assigned

Sep 18, 2017

Last updated

Sep 18, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Access Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Laurel, MD
  • NPI 1649958083
  NPD

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505692800000",
    "number": "1881113231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 CROSBY RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 23RD ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372342",
            "telephone_number": "202-715-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNTAIN",
        "first_name": "CHARLES",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-18",
        "last_updated": "2017-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50081404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Therese Mounou Njinguet
• Mount Pleasant Care Pharmacy
• Mount Pleasant Care Pharmacy LLC
• Mount Zion Family Services LLC
• Christina Mount, MA, ATR-P, LPCA
• Jay Mason Mounteer, FNP-C
• Geoffrey G Mountvarner, M.D.
• Rachel M Moupia
• Dorothy Mouring
• Nikki Mourtzinos, D.O.

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; 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.