Active NPI
Charles D. Atkinson, MA, MSW, LCSW
- Social Worker
- Phoenix, AZ
National Provider Identifier
1912363003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW11323
- Practice address
- 1716 East Seldon Lane
Phoenix, AZ 85020 - Phone
- (602) 870-3364
- NPI assigned
- Jan 6, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW11323 | AZ | Primary |
Addresses
Primary practice location
1716 East Seldon Lane
Phoenix, AZ 85020
Mailing address
1716 East Seldon LN
Phoenix, AZ 85020
Phone (602) 870-3364
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW11323 | AZ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1912363003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 EAST SELDON LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85020",
"telephone_number": "602-870-3364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1716 EAST SELDON LANE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85020",
"telephone_number": "602-870-3364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINSON",
"first_name": "CHARLES",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "MA, MSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-06",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "LCSW11323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.