MR. CHARLES FRANCIS SMALL III L.S.W.
NPI 1053673053
Social Worker - Clinical in Chicago, IL
About Mr. Charles Francis Small Iii L.s.w. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CHARLES FRANCIS SMALL III L.S.W. (NPI 1053673053) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.015676) and active in the NPI registry since June 2012. He has opted out of Medicare through February 8, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. Charles Francis Small Iii L.s.w. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 8, 2022 through February 8, 2028.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60612
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Charles Small's NPI number?
The NPI number for Charles Small is 1053673053. It was assigned to this individual provider in the NPPES registry on June 14, 2012.
Where is Charles Small located?
Charles Small practices at 1645 W Jackson Blvd Suite 302, Chicago, IL 60612. The listed phone number is (312) 942-8318.
What is Charles Small's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Charles Small enrolled in Medicare?
No. Charles Small has opted out of Medicare through February 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Charles Small was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.