MEDICARE: CHARLOTTE HACKLEY

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	251S00000X	Community/Behavioral Health Agency
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1780378828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLOTTE HACKLEY

Provider Business Mailing Address
First Line	:	650 PENNSYLVANIA AVE SE STE 330
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20003-4397
Country	:	US
Telephone Number	:	202-864-4186
Fax Number	:	202-864-4158

Provider Business Practice Location Address
First Line	:	965 FLORIDA AVE NW APT 359
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20001-5573
Country	:	US
Telephone Number	:	202-705-2949
Fax Number	:

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

Provider Enumeration Date	:	06/02/2023
Last Update Date	:	08/01/2023

Similar Medicare Providers

1275340440 — JAMILAH CHAMBERS
Practice Location Address:

3261 OLD WASHINGTON RD STE 2010
WALDORF, MD
20602-3231

Practice Phone: 301-943-7989
Practice Fax:

1922825678 — COLLIN XAVIER WATSON
Practice Location Address:

19 I ST NW
WASHINGTON, DC
20001-1425

Practice Phone: 202-841-5127
Practice Fax:

1366376923 — TITILAYO SANUSI
Practice Location Address:

965 FLORIDA AVE NW APT 212
WASHINGTON, DC
20001-5566

Practice Phone: 832-513-5194
Practice Fax:

1376475756 — LOGOPEDIA PLLC
Practice Location Address:

440 K ST NW APT 410
WASHINGTON, DC
20001-2886

Practice Phone: 682-272-6939
Practice Fax:

1740526201 — WALGREEN CO
Practice Location Address:

801 7TH ST NW
WASHINGTON, DC
20001-3717

Practice Phone: 202-789-5345
Practice Fax: 202-789-4192

1144153610 — CARLESE GAMBLE
Practice Location Address:

915 RHODE ISLAND AVE NW
WASHINGTON, DC
20001-4153

Practice Phone: 202-232-6100
Practice Fax: 202-644-7024

Directions to “ CHARLOTTE HACKLEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.