Individual provider Active NPI

Charlotte Ellen Howorth

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1902378292
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075668 Issued in NY
Practice address
11 4TH St # 1
Brooklyn, NY 11231-4510
Phone
(347) 489-9587
NPI assigned
Dec 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

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 075668 NY Primary

Addresses

Primary practice location

11 4TH St # 1
Brooklyn, NY 11231-4510

Mailing address

11 4TH St # 1
Brooklyn, NY 11231-4510
Phone (347) 489-9587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
075668NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1902378292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 4TH ST # 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112314510",
            "telephone_number": "347-489-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 4TH ST # 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112314510",
            "telephone_number": "347-489-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWORTH",
        "first_name": "CHARLOTTE",
        "middle_name": "ELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.