Provider Demographics
NPI:1205601226
Name:HARRINGTON, CHARLOTTE (LMSW)
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 S INDUSTRIAL DR # MI48176
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-9175
Mailing Address - Country:US
Mailing Address - Phone:248-587-7731
Mailing Address - Fax:
Practice Address - Street 1:4007 CARPENTER RD # 128
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-9644
Practice Address - Country:US
Practice Address - Phone:303-900-2025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-20
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011145161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical