Individual provider Active NPI

Emily Alderson, LISW-CP

  • Clinical Social Worker
  • Columbia, SC
National Provider Identifier
1033699178
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14641 Issued in SC
Practice address
1709 Laurel St
Columbia, SC 29201-2624
Phone
(803) 765-0700
Fax
(803) 765-1607
NPI assigned
Aug 17, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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

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
14641SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Post Trauma Resources, LLC Mental Health CurrentSince Oct 17, 2021 Accepting new patients
Ea Counseling LLC Clinical Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office PastSince Sep 25, 2019 Accepting new patients

Locations

1709 Laurel St
Columbia, SC 29201
Phone (803) 765-0700

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 14641 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

1709 Laurel St
Columbia, SC 29201-2624

Mailing address

1709 Laurel St
Columbia, SC 29201-2624
Phone (803) 765-0700

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
421504MedicaidSC
3335OtherSCMEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 12, 2021.

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1033699178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 LAUREL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012624",
            "telephone_number": "803-765-0700",
            "fax_number": "803-765-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 LAUREL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012624",
            "telephone_number": "803-765-0700",
            "fax_number": "803-765-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDERSON",
        "first_name": "EMILY",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "14641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421504",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "3335",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.