Charmain Ali, LCSW

Individual provider Active NPI Clinical Social Worker · South Windsor, CT

NPI 1891929170 · NPPES record last updated Dec 4, 2012

Key facts

NPI
1891929170
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
005444 (CT)
Practice address
225 Oakland Rd
#403
South Windsor, CT 06074-2866
Phone
(860) 644-3222
Fax
(860) 644-9730
NPI assigned
May 14, 2009
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
005444CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Center Inc. Past
since Dec 24, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 005444 CT Yes

Addresses

Primary practice location

225 Oakland Rd
#403
South Windsor, CT 06074-2866

Mailing address

225 Oakland Rd
#403
South Windsor, CT 06074-2866
Phone (860) 644-3222

Other providers in South Windsor, CT

All providers in South Windsor, CT · Clinical Social Worker in Connecticut

Sources for this page

Verify at the official NPI Registry.