Lori Anne Charlish, LCSW
Social Worker, Clinical in Portland, OR. Individual provider (NPI-1).
NPI number1336632017
StatusActive
Last updated in NPPESJun 7, 2018
Details
- NPI
- 1336632017
- Entity type
- Individual (NPI-1)
- Name
- Lori Anne Charlish
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2018
- Last updated
- Jun 7, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | L6483 | OR | Yes |
Practice location
1832 Ne Broadway StPortland, OR 97232-1992
Phone 503-407-4684
Mailing address
1832 Ne Broadway StPortland, OR 97232-1992
Phone 503-407-4684
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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