Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Charles C Daniels

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1891076667

Mr. Charles C Daniels is a Clinical Social Worker in Boston, Massachusetts. Qualified in 2012, 14 years ago. Licensed in Massachusetts.

Years since qualifying
14
Licensed in
MA
In the registry since
2011
Specialties on file
3
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Practice location Address checks out

100A Warren St
Boston, MA 02119-3209
Phone: (617) 708-0870
Fax: (617) 516-8274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 119702 (MA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1891076667
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 7, 2011
Last updated in NPPESAugust 17, 2016
Mailing address100a Warren St, Boston, MA 02119-3209

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated

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