Provider Demographics
NPI:1831228204
Name:CHARNAS, JANE (DSW)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:
Last Name:CHARNAS
Suffix:
Gender:F
Credentials:DSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6131 TRIANGLE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-4712
Mailing Address - Country:US
Mailing Address - Phone:410-997-3730
Mailing Address - Fax:410-992-5730
Practice Address - Street 1:6131 TRIANGLE DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-4712
Practice Address - Country:US
Practice Address - Phone:410-997-3730
Practice Address - Fax:410-992-5730
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical