Charles Idris Webb, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00854200 Issued in NJ

Practice address

6 Waddington Ave
West Orange, NJ 07052

Phone

(973) 477-8980

NPI assigned

Feb 29, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New Life Counseling and Mental Health Services

  • Mental Health Counselor
  • Bloomfield, NJ
  • NPI 1639500101
  NPD (past) Authorized official

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1962776518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WADDINGTON AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522619",
            "telephone_number": "973-477-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WADDINGTON AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "07052",
            "telephone_number": "973-477-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "CHARLES",
        "middle_name": "IDRIS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00854200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gileen Wambua, APN
• Paul Wangenheim, MD
• Tolan Washington, PT, CN, FUNCTIONAL M
• Bishoy Wassef, M.D.
• Cianna Charmaine Weary, PT, DPT
• Kristie Weimmer, APN
• Mari Weinandy, PT DPT
• Andrew Bruce Weinberger, M.D.
• Heather Weiner, APN
• Michael P Weis, PT

• Clinical Social Worker in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.