MEDICARE: CAROLINE JAMSA CHARLES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker		NY

General Provider Information

NPI Number	:	1952250912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE JAMSA CHARLES

Provider Business Mailing Address
First Line	:	434 OXFORD ST APT 5
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14607-3256
Country	:	US
Telephone Number	:	952-567-4405
Fax Number	:

Provider Business Practice Location Address
First Line	:	224 ALEXANDER ST
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14607-4000
Country	:	US
Telephone Number	:	585-922-7770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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Directions to “ CAROLINE JAMSA CHARLES ” Practice Location

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