MR. CHARLES D PHELPS (LCSW) – Clinical Social Worker, NPI 1851316087

MR. CHARLES D PHELPS (LCSW) is a healthcare provider. based in Williamsburg, Pennsylvania. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CW013551 (PA). The NPI Number for MR. CHARLES D PHELPS (LCSW) is 1851316087

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHARLES D PHELPS (LCSW)
NPI
1851316087
Phone
(814) 599-7384
Address
5190 PINEY CREEK RD
Enumeration Date
12 July 2006
Last Update Date
19 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8143425678
Graduation Year
1991 (35 years ago)
PAC ID
5496929499
Group Practice PAC ID
9436258860
Professional Enrollment ID
I20111130000556
Address ID
PA166521722HU620XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,473 CLINICAL SOCIAL WORKER in PA

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Provider Addresses for MR. CHARLES D PHELPS (LCSW)

  • Piney Creek Road, Shelltown, Woodbury Township, Blair County, Pennsylvania, 16693, United States

    WILLIAMSBURG, PA 166937948

    Phone: (814) 599-7384

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-11-30

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111130000556IClinical Social WorkerPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 16693)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436258860View full group profile
NameSpecialtyState
Clinical Social WorkerPA
Clinical Social WorkerPA
Mental Health CounselorPA
Mental Health CounselorPA
Mental Health CounselorPA
Mental Health CounselorPA
P S Y C H I A T R YPA
Mental Health CounselorPA
-PA
Mental Health CounselorPA

Reviews

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Frequently asked questions

Is MR. CHARLES D PHELPS (LCSW) listed with a National Provider Identifier?
Yes — MR. CHARLES D PHELPS (LCSW) has NPI 1851316087 on file in the registry.
Is there an active status for MR. CHARLES D PHELPS (LCSW)?
For scheduling context, MR. CHARLES D PHELPS (LCSW) is shown as active in the registry.
What expertise is attributed to MR. CHARLES D PHELPS (LCSW)?
MR. CHARLES D PHELPS (LCSW)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MR. CHARLES D PHELPS (LCSW) located near Williamsburg?
MR. CHARLES D PHELPS (LCSW) currently maps to Williamsburg, Pennsylvania in this extract.
Does MR. CHARLES D PHELPS (LCSW) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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