Provider Demographics
NPI:1295904597
Name:ROSSI, CHARITY LYN (MSW, LGSW)
Entity type:Individual
Prefix:MRS
First Name:CHARITY
Middle Name:LYN
Last Name:ROSSI
Suffix:
Gender:F
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 STONEHENGE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25314-1660
Mailing Address - Country:US
Mailing Address - Phone:304-344-2850
Mailing Address - Fax:
Practice Address - Street 1:1021 QUARRIER ST STE 414
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-2331
Practice Address - Country:US
Practice Address - Phone:304-340-3676
Practice Address - Fax:304-340-3688
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVBP009430261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical