ANDREA L CHARLES


Address: 303 Bridge St Ste C, Clarkston, WA 99403-2921
Phone: 5092545053

ANDREA L CHARLES (NPI# 1730529165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730529165
Entity Type Individual
Full Name ANDREA L CHARLES
Credential LICSW
Practice Address 303 Bridge St Ste C
Clarkston
WA 99403-2921
Mailing Address Po Box 2031
Clarkston
WA 99403-4031
Practice Telephone 5092545053
Practice Fax Number 5097693500
Mailing Telephone 5092545053
Mailing Fax Number 5097693500
Enumeration Date 2013-06-29
Last Update Date 2020-09-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
LW60737830 WA Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
LCSW35066 ID Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA LICENSE LW60737830 01
ID LICENSE LCSW - 35066 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
20006 Cedar Valley Rd Ste 113, Lynnwood, WA 980366478 5092545053 5097693500
203 N Washington St, Ste 300, Spokane, WA 992010233 5094448200 5094447806
338 6th St, Lewiston, ID 835012420 2088488300 2088488303
744 5th St Ste 101, Clarkston, WA 994032670 5092545053 5097693500

Other Providers ANDREA CHARLES

NPI Name Taxonomy Address Enumeration
1689085342 Andrea Charles Physical Therapist 6261 Sw 24th Pl Apt 102, Davie, FL 33314-1143 2014-05-15
1134768476 Andrea Joanna Charles Nurse Practitioner 101 W Robert E Lee Blvd, New Orleans, LA 70124-2459 2020-01-03

Office Location

Street Address 303 BRIDGE ST STE C
City CLARKSTON
State WA
Zip Code 99403-2921

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457964165 Katherine Nicole Johnson Social Worker 303 Bridge St Ste C, Clarkston, WA 99403-2921 2020-08-24
1750993838 Allison Cole Social Worker 303 Bridge St Ste C, Clarkston, WA 99403-2921 2020-08-19
1730607854 Dragonfly Counseling Pllc Social Worker 303 Bridge St Ste C, Clarkston, WA 99403-2921 2017-09-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306409669 Jessica Elaine Krull Specialist/Technologist 807 3rd Street, Clarkston, WA 99403 2019-04-22
1477006526 Idaho County Rideshare Non-emergency Medical Transport (VAN) 1470 Elm Street, Clarkston, WA 99403 2016-07-25
1679921340 Jonathan Preszler Counselor 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 2016-06-02
1104204957 Optimal Health and Wellness Clinic/Center 1267 Belmont Way, Clarkston, WA 99403 2015-05-13
1326456351 David Nygren Pharmacist 506 5th St, Clarkston, WA 99403 2014-07-22
1255672895 Alpowa Healthcare, Inc. Hospice Care, Community Based 1370 Bridge Street, Clarkston, WA 99403 2013-03-06
1265799407 Elizabeth Bagnulo Dacey Pathology 1225 Highland Avenue, Clarkston, WA 99403 2012-04-12
1649586256 Zeeshan Afzal Internal Medicine 1119 Highland Ave Ste 3, Clarkston, WA 99403 2010-08-20
1154657955 Twin River Vision, Inc. Optometrist 306 5th Street, Clarkston, WA 99403 2009-10-29
1649429317 Elizabeth Marie Allen-racicot Specialist 1013 Bridge Street, Clarkston, WA 99403 2008-09-17
Find all providers in zip 99403

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720611528 Origins Counseling, Pllc Social Worker 8040 Ortonville Rd # E9, Clarkston, MI 48348-4468 2020-02-20
1447880265 Fieldstone Counseling & Wellness Center Social Worker 9191 Dixie Hwy, Clarkston, MI 48348-4248 2020-01-21
1508402934 Robert Garchow Social Worker 3694 Clarkston Rd Ste C, Clarkston, MI 48348-5213 2019-11-20
1366098923 Holly Jara Social Worker 5980 S Main St Ste 101, Clarkston, MI 48346-2377 2019-08-09
1467929471 Victoria Fleming Social Worker 7183 N Main St # 12, Clarkston, MI 48346-1598 2018-10-28
1972079655 Stephanie Gaumer Social Worker 6825 Dixie Hwy Ste E, Clarkston, MI 48346 2018-10-19
1376083246 Rosemarie Villarreal Social Worker 4480 Elmdale Ave, Clarkston, MI 48346 2017-02-27
1629515077 Laura Munger Social Worker 4545 Clawson Tank Dr, Clarkston, MI 48346-2581 2017-01-24
1407206873 Paul Ulewicz I Social Worker 7160 Andersonville Rd, Clarkston, MI 48346-2710 2016-06-16
1598112245 Kimberly Jill Byrd Social Worker 6997 Cranberry Lake Rd, Clarkston, MI 48348-4417 2016-05-23
Find all providers in CLARKSTON

Competitor

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City CLARKSTON
Zip Code 99403

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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