Individual provider Active NPI

Charissa Maria Czarniawski, IDC

  • Social Worker
  • Colorado Springs, CO
National Provider Identifier
1982857645
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LSW.0009926371 Issued in CO
Practice address
80 Childe Dr
Colorado Springs, CO 80906-4354
Phone
(619) 252-9786
NPI assigned
Oct 28, 2008
Reactivated
Dec 15, 2025
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSW.0009926371 CO Primary

Addresses

Primary practice location

80 Childe Dr
Colorado Springs, CO 80906-4354

Mailing address

80 Childe Dr
Colorado Springs, CO 80906-4354
Phone (760) 725-7200

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
LSW.0009926371COMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Therapy & Wellness, LLC Social Worker CurrentSince Dec 28, 2025 Accepting new patients
Optimal Home Health Care LLC Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1982857645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 CHILDE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064354",
            "telephone_number": "760-725-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CHILDE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064354",
            "telephone_number": "619-252-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZARNIAWSKI",
        "first_name": "CHARISSA",
        "middle_name": "MARIA",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "deactivation_date": "2025-10-30",
        "reactivation_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009926371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.