Charlotte Denise Iszard, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW009884L Issued in PA

Practice address

3300 Henry Ave Ste 113
Philadelphia, PA 19129-1146

Phone

(215) 254-4040

Fax

(215) 438-1047

NPI assigned

Dec 2, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Elwyn of Pennsylvania and Delaware

  • Community/Behavioral Health Agency
  • Media, PA
  • NPI 1215548615
  NPD (past)

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1972140622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E CHELTENHAM AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201012",
            "telephone_number": "215-549-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 HENRY AVE STE 113",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291146",
            "telephone_number": "215-254-4040",
            "fax_number": "215-438-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISZARD",
        "first_name": "CHARLOTTE",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW009884L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Charlotte_Iszard@elwyn.org",
            "affiliation": "N",
            "address_1": "3300 Henry Ave Ste 113",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191291146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jean-Pierre Issa, M.D.
• Yasmin Issari, MD
• Sarina Giselle Issenberg, LCSW
• Rebecca Isserman, MD
• Raul Alberto Isturiz, DMD
• Clarence B Iszard Jr., MS
• It Starts at H.O.M.E. LLC
• It Takes a Village Homecare LLC
• It Takes Two Pharmacy LLC
• Angelie Itaas

• All providers in Philadelphia, PA
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.