Charles Steven Mylie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2719 Issued in LA

Practice address

3616 S I 10 Service Rd W Ste 100
Metairie, LA 70001-1874

Phone

(504) 838-5257

Fax

(504) 838-5284

NPI assigned

Oct 25, 2006

Last updated

Mar 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in LA

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

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JeffcareGroup PAC ID 7911125513, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Jeffcare

  dba JeffCare East Jefferson

  • Federally Qualified Health Center (FQHC)
  • Metairie, LA
  • NPI 1518383785
  Medicare reassignment Care Compare group
• Jeffcare

  dba JeffCare West Jefferson

  • Federally Qualified Health Center (FQHC)
  • Marrero, LA
  • NPI 1154747327
  NPD (past)
• Jefferson Parish Human Services Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jefferson, LA
  • NPI 1043258007
  NPD (past)
• Jefferson Parish Human Services Authority

  dba Jefferson Parish Human Services Authority-Elmwood

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jefferson, LA
  • NPI 1194252478
  NPD (past)
• Jefferson Parish Human Services Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marrero, LA
  • NPI 1821039983
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1881779320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WEST ESPLANADE AVE",
            "address_2": "SUITE 213",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70002",
            "telephone_number": "504-838-5716",
            "fax_number": "504-838-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 S I 10 SERVICE RD W STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011874",
            "telephone_number": "504-838-5257",
            "fax_number": "504-838-5284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 EDENBORNE AVE",
            "address_purpose": "LOCATION",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70001",
            "country_code": "US",
            "telephone_number": "504-838-5257",
            "fax_number": "504-838-5714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYLIE",
        "first_name": "CHARLES",
        "middle_name": "STEVEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "2719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Allen Myers
• Laura Marie Myers, MSW
• Martha K. Myers, M.C.D., CCC-SLP
• Penelope Myles
• Runqiesha Myles
• Brandi Ducote Naccari, MD
• Brian J Naccari, MD
• Brittani Naccari, FNP
• Derek Naccari, M.D.
• Nicole Meredith Naccari, FNP-BC

• Clinical Social Worker in Metairie, LA
• Providers in Metairie, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.