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General NPI Number Information
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NPI Number | 1992415467
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Entity Type | Individual
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Provider Name | ALLYSSA KAY CHARNEY LMSW
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Gender | Female
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Dates
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Enumeration Date | 11/25/2022
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 1170 CHARTER DR STE B
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City | FLINT
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State | MI
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Zip | 48532-3587
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Country | US
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Telephone | 810-877-6343
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Fax |
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Provider Business Mailing Address
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Address Line | 35407 GLOVER ST
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City | WAYNE
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State | MI
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Zip | 48184-2454
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Country | US
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Telephone | 616-589-5386
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6851114494
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801120050
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License Number State | MI
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