Individual provider Active NPI

Chara Lynn Halliwill, MSW

  • Clinical Social Worker
  • Hillsdale, MI
National Provider Identifier
1902553084
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851114353 Issued in MI
Practice address
1360 S Hillsdale Rd
Hillsdale, MI 49242-9367
Phone
(517) 439-2601
Fax
(517) 439-2667
NPI assigned
Mar 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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 6851114353 MI Primary

Addresses

Primary practice location

1360 S Hillsdale Rd
Hillsdale, MI 49242-9367

Mailing address

1360 S Hillsdale Rd
Hillsdale, MI 49242-9367
Phone (517) 439-2601

Other names 1

  • Chara Lynn Ham Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851114353MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1902553084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 S HILLSDALE RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492429367",
            "telephone_number": "517-439-2601",
            "fax_number": "517-439-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 S HILLSDALE RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492429367",
            "telephone_number": "517-439-2601",
            "fax_number": "517-439-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLIWILL",
        "first_name": "CHARA",
        "middle_name": "LYNN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851114353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARA",
            "last_name": "HAM",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.