Charrisa Castillo, LSCSW
Individual provider Active NPI Clinical Social Worker · Pittsburg, KS
NPI 1881990208 · NPPES record last updated Jan 22, 2025
Key facts
- NPI
- 1881990208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 4449 (KS)
- Practice address
- 107 N Pine St Ste B
Pittsburg, KS 66762-4757 - Phone
- (620) 249-3935
- NPI assigned
- Feb 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
107 N Pine St
Suite B
Pittsburg, KS 66762-4757
Phone (620) 249-3539
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150612000487 | KS | Practitioner - Clinical Social Worker | 7911218227 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brainpathway, LLC | Clinical | Current |
Accepting new patients |
Locations
2809 N Broadway St
Ste 1
Pittsburg, KS 66762
2809 N Broadway St
Ste I
Pittsburg, KS 66762
Phone (620) 249-3539
107 N Pine St
Ste B
Pittsburg, KS 66762
Phone (620) 249-3539
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4449 | KS | Yes |
Addresses
Primary practice location
107 N Pine St Ste B
Pittsburg, KS 66762-4757
Mailing address
107 N Pine St Ste B
Pittsburg, KS 66762-4757
Phone (620) 249-3539
Other providers in Pittsburg, KS
- Michele Carey
- Caring Hands Hospice, LLC
- Mark D Carlson
- Philip D Carr
- Carrington Residential, LLC
- Diana E Cates
- Ryan Cedeno
- Century Surgical Associates, Inc
- Kari Chambers
- Sarah Jean Chandler
All providers in Pittsburg, KS · Clinical Social Worker in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.