Provider Demographics
NPI:1396001947
Name:HAPPE, CHARISSA DAWN (LMSW)
Entity Type:Individual
Prefix:MISS
First Name:CHARISSA
Middle Name:DAWN
Last Name:HAPPE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MISS
Other - First Name:CHARISSA
Other - Middle Name:DAWN
Other - Last Name:HAPPE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CACI
Mailing Address - Street 1:1400 CLEVELAND ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-2410
Mailing Address - Country:US
Mailing Address - Phone:864-467-3920
Mailing Address - Fax:864-467-3757
Practice Address - Street 1:1400 CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-2410
Practice Address - Country:US
Practice Address - Phone:864-467-3920
Practice Address - Fax:864-467-3757
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1112122101YA0400X
SC96341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical