Mark Anthony Childs
Individual provider Active NPI Counselor · Camden, SC
NPI 1023948502 · NPPES record last updated May 19, 2026
Key facts
- NPI
- 1023948502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 208 King St
Camden, SC 29020-4720 - Phone
- (803) 432-6902
- NPI assigned
- May 19, 2026
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kershaw County Commission on Alcohol and Drug Abuse | Past |
Accepting new patients | |
| Kershaw County Commission on Alcohol and Drug Abuse | Counselor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | SC | Yes |
Addresses
Primary practice location
208 King St
Camden, SC 29020-4720
Mailing address
460 Marsh Pointe Dr
Columbia, SC 29229-7025
Phone (803) 457-6578
Other providers in Camden, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.