Lourna Charles, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW020300 Issued in PA

Practice address

529 Seven Bridge Rd Unit 207
East Stroudsburg, PA 18301-7608

Phone

(516) 305-7659

NPI assigned

Dec 29, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Marie Lourna Charles Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Graceli LLC

  • Clinical Social Worker
  • East Stroudsburg, PA
  • NPI 1093352247
  NPD Authorized official

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

{
    "created_epoch": "1198886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1962687731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 SEVEN BRIDGE RD UNIT 207",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017608",
            "telephone_number": "516-305-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 SEVEN BRIDGE RD UNIT 207",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017608",
            "telephone_number": "516-305-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "LOURNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-29",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "CHARLES",
            "middle_name": "LOURNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christian A Cedeno
• Carmine Joseph Cerra, MD
• Luis A Cervantes, MD
• Connie Chang, MD
• Beatrice Charles
• Ana Chaudhry
• Dianne Chelak, DIETICIAN
• Kiara Monae Cherry
• Chester L Smith Jr MD PC
• Mahesh D Chhabria, MD

• Clinical Social Worker in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.