Organization Active NPI

Good Deeds Case Management Services LLC

  • Case Management Agency
  • Charleston, SC
National Provider Identifier
1013375534
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
GOOD DEEDS CASE MANAGEMENT SERVICES LLC
Practice address
1324 Secessionville Rd
Charleston, SC 29412-8231
Phone
(843) 697-4587
NPI assigned
Jan 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Tirieka Brown Brown, M.S., S.S.P, MHP
Title
Owner/Operator
Phone
(843) 697-4587

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X 4674 SC
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1324 Secessionville Rd
Charleston, SC 29412-8231

Mailing address

1324 Secessionville Rd
Charleston, SC 29412-8231
Phone (843) 697-4587

Other identifiers 1

IdentifierTypeStateIssuer
EX1518MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1013375534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 SECESSIONVILLE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294128231",
            "telephone_number": "843-697-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 SECESSIONVILLE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294128231",
            "telephone_number": "843-697-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD DEEDS CASE MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TIRIEKA",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "843-697-4587",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., S.S.P, MHP"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "SC",
            "license": "4674",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX1518",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.