NPI 1780956748 · live from the CMS NPI Registry
Charmaine Antoinette Bishop, LCSW
Social Worker, Clinical in Wilmington, DE. National Provider Identifier 1780956748, active.
NPI record
| NPI | 1780956748 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 5143a W Woodmill Dr, Suite 24, Wilmington, DE 19808 |
| Practice phone | 302-283-3300 |
| Mailing address | 71 Omega Dr, Building D, Newark, DE 19713 |
| Enumerated | February 6, 2012 |
| Last updated | February 7, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | CD-0000043 (DE) |
| Social Worker, Clinical primary | 1041C0700X | Q1-0001123 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.