MS. CAMILLIA LASHAWN CHARLEY LBSW
NPI 1396839825
Social Worker in Detroit, MI

Q: What is Camillia Charley's NPI number?

The NPI number for Camillia Charley is 1396839825. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Camillia Charley's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Camillia Charley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment

2051 W GRAND BLVD, DETROIT, MI 48208(313) 961-3700(313) 961-3769 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Camillia Lashawn Charley Lbsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CAMILLIA LASHAWN CHARLEY LBSW (NPI 1396839825) is an individual social worker in Detroit, Michigan, licensed in Michigan (6802078417) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1396839825

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. CAMILLIA LASHAWN CHARLEYCredential: LBSW

Location Address2051 W GRAND BLVDDetroit, MI 48208-1105

Mailing Address2051 W Grand BlvdDetroit, MI 48208-1105 · (313) 961-3700 · Fax (313) 961-3769

Phone(313) 961-3700

Fax(313) 961-3769

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateOctober 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1396839825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MI · 6802078417

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

2051 W GRAND BLVD, Detroit, MI 48208

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Other Identifiers 1

Other6802078417MI · State License Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Camillia Lashawn Charley Lbsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486789013

PECOS Enrollment IDI20100320000224

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DEBBIE SHELL

Social Worker (Clinical)

2051 W GRAND BLVD, NEW CENTER COMMUNITY MENTAL HEALTH SERVICES
DETROIT, MI 48208

Wayne County (313) 961-3221

MS. SHARON MARIA CROSBY LLMSW

Social Worker