Provider Demographics
NPI:1770949059
Name:CHARLAP, LUC OLIVIER (PHD LCSW LICSW)
Entity type:Individual
Prefix:DR
First Name:LUC OLIVIER
Middle Name:
Last Name:CHARLAP
Suffix:
Gender:
Credentials:PHD LCSW LICSW
Other - Prefix:
Other - First Name:MARIE HELENE
Other - Middle Name:
Other - Last Name:CHARLAP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD LCSW
Mailing Address - Street 1:145 CHESTNUT STREET
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062
Mailing Address - Country:US
Mailing Address - Phone:917-647-6422
Mailing Address - Fax:
Practice Address - Street 1:145 CHESTNUT STREET
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062
Practice Address - Country:US
Practice Address - Phone:917-647-6422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-03
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR-046625101YM0800X
MALICSW11400281041C0700X
NYR0466251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health