Active NPI
Steps of Support Therapy LCSW, PLLC
- Community/Behavioral Health Agency
- Blackstock, SC
National Provider Identifier
1013782689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- STEPS OF SUPPORT THERAPY LCSW, PLLC
- Practice address
- 1083 Durham Rd # B96
Blackstock, SC 29014-8600 - Phone
- (803) 444-7155
- NPI assigned
- Nov 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Damara Olivia Israel, LCSW
- Title
- Owner/Employee
- Phone
- (803) 444-7155
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1083 Durham Rd # B96
Blackstock, SC 29014-8600
Mailing address
PO Box 96
Blackstock, SC 29014-0096
Phone (803) 444-7155
National Provider Directory
National Provider DirectoryLocations
1083 Durham Rd
#B96
Blackstock, SC 29014
Phone (803) 444-7155
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Brooklyn, NY
- NPI 1619370533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700697600000",
"number": "1013782689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 96",
"city": "BLACKSTOCK",
"state": "SC",
"postal_code": "290140096",
"telephone_number": "803-444-7155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1083 DURHAM RD # B96",
"city": "BLACKSTOCK",
"state": "SC",
"postal_code": "290148600",
"telephone_number": "803-444-7155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPS OF SUPPORT THERAPY LCSW, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-23",
"last_updated": "2023-11-23",
"certification_date": "2023-11-23",
"status": "A",
"authorized_official_last_name": "ISRAEL",
"authorized_official_first_name": "DAMARA",
"authorized_official_middle_name": "OLIVIA",
"authorized_official_title_or_position": "OWNER/EMPLOYEE",
"authorized_official_telephone_number": "803-444-7155",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blackstock, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.