Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1689699431 Deactivated / Inactive NPI Male Practitioner

Charles T Jax , LMSW BCD ABDA SAP

Social Worker • Warren, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Charles Jax has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 13, 2006
NPI Deactivation Date January 30, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Charles Jax, LMSW BCD ABDA SAP was a registered Social Worker practicing in Warren, MI. Throughout an active medical career spanning 16 years, Charles Jax provided care at the practice location at 12200 E 13 MILE RD until profile deactivation on 2022-01-30.

Practice Location & Contact Primary Location

Practice Address

12200 E 13 Mile Rd
Ste 150

Warren, MI 480933093

Telephone 5867510999
Fax 5867511703
Associated Practice Facility / Clinic
🏢 Charles T Jax & Associates Pc Facility NPI 1457378903

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Warren, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.9 Yrs
State Avg: 16.0 Yrs
Regional Practice Density
54 Specialists

Practicing in Warren, MI (9360 Statewide)

Telehealth Adoption Rate
1.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MI 6801020297

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Caitlyn Chobod

Behavior Technician

NPI 1003480773
Fatima Alim

Behavior Technician

NPI 1003635160
Katherine Vandewyngearde , LMSW

Social Worker - Clinical

NPI 1013154517

Licensed Master Social Worker

Brianna Witherspoon

Behavior Technician

NPI 1043851728
Danaziah Thomas

Behavior Technician

NPI 1073489753
NPI 1164955860

Limited Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 30, 2022

Record deactivated on January 30, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 12200 E 13 MILE RD, STE 150, WARREN, MI 480933093 (Tel: 5867510999)

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Updated Business Mailing Address July 08, 2007

Registered at 12200 E 13 MILE RD, STE 150, WARREN, MI 480933093 (Tel: 5867510999)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES JAX, LMSW BCD ABDA SAP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #6801020297 in MI)

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Initial NPI Registration & Enumeration July 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689699431
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2006
Last Update: July 08, 2007
Deactivation Date: January 30, 2022

Mailing Address

12200 E 13 Mile Rd, Ste 150

Warren, MI 480933093

Phone: 5867510999

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.