Bethanie Brown, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5684 Issued in SC

Practice address

1180 Columbia Ave Ste 101
Irmo, SC 29063-2890

Phone

(864) 325-4563

NPI assigned

Jan 12, 2016

Last updated

Apr 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of South Carolina School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deep Roots Therapy, LLC

  • Clinical Social Worker
  • Ware Shoals, SC
  • NPI 1114762051
  NPD (past)

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1033575691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SIENNA CT",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368669",
            "telephone_number": "864-325-4563",
            "fax_number": "803-250-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 COLUMBIA AVE STE 101",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632890",
            "telephone_number": "864-325-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BETHANIE",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "5684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Bridges, RN
• Cheryl M Brisbane, MA, LPC
• Jennifer H Britt, APRN
• Danielle Nichole Brooks, MSN-NM, APRN, CNM
• Joy Brooks
• Christina I Brown
• Hannah Rhea Brown, FNP
• Tajiana Brown
• Rosalie E. Browning, MD
• Emily Bryant

• Clinical Social Worker in Irmo, SC
• Providers in Irmo, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.