Skip Navigation Link. Please press insert + down arrow if jaws does not start reading the content.

Provider Information for 1609901008


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

CHARLES MICHEL LCSW


Sex: Male

NPI: 1609901008
Last Updated: 2013-04-17
Certification Date:

Details

NameValue
NPI1609901008
Enumeration Date2007-02-23
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 6459
KOKOMO, IN 46904-6459
United States

Phone: 765-453-7422 | Fax:765-453-3773
 
Primary Practice Address 702 W ALTO RD
KOKOMO, IN 46902-4907
United States

Phone: 765-453-7422 | Fax:765-453-3773
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDIN100154150A
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalIN34004273A