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Contact Information

JENNIFER E CHARLEY, LCSW
PO BOX 457
GANADO, AZ86505-0457
 Phone: 928-755-4586
 Fax: 928-755-4747
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JENNIFER E CHARLEY · (Female)

NPI # 1023534419
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/17/2017
Last updated 06/11/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • License # I.2103325
  • AZ License # LCSW-22076
  • MT License # BBH-LAC-LIC-62407
  • MT License # BBH-LCSW-LIC-50538
  • NM License # SWB-2024-0096
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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