Individual provider Active NPI

Patricia Elizabeth Plaxco, LMSW, VSW-CP

  • Social Worker
  • Mount Pleasant, SC
National Provider Identifier
1013695543
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
15498 Issued in SC
Practice address
1435 Stuart Engals Blvd
Mount Pleasant, SC 29464-7311
Phone
(843) 459-9805
NPI assigned
Jul 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 15498 SC Primary

Addresses

Primary practice location

1435 Stuart Engals Blvd
Mount Pleasant, SC 29464-7311

Mailing address

124 White Blvd
Summerville, SC 29483-3026
Phone (843) 568-3238

Other names 1

  • Aliix Plaxco Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15498SCMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1013695543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WHITE BLVD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294833026",
            "telephone_number": "843-568-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 STUART ENGALS BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647311",
            "telephone_number": "843-459-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAXCO",
        "first_name": "PATRICIA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LMSW, VSW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "15498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALIIX",
            "last_name": "PLAXCO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.