Provider Demographics
NPI:1972855351
Name:CHARNAS, ALYSON HAMMERMAN (LISW, MSW)
Entity Type:Individual
Prefix:
First Name:ALYSON
Middle Name:HAMMERMAN
Last Name:CHARNAS
Suffix:
Gender:F
Credentials:LISW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28790 CHAGRIN BLVD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4638
Mailing Address - Country:US
Mailing Address - Phone:440-734-7714
Mailing Address - Fax:
Practice Address - Street 1:28790 CHAGRIN BLVD
Practice Address - Street 2:SUITE 260
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4638
Practice Address - Country:US
Practice Address - Phone:440-734-7714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-09
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.11000901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical