Organization Active NPI

Florence Crittenton Programs of South Carolina

  • Community/Behavioral Health Agency
  • Charleston, SC
National Provider Identifier
1043360670
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FLORENCE CRITTENTON PROGRAMS OF SOUTH CAROLINA
Practice address
19 Saint Margaret St
Charleston, SC 29403-3612
Phone
(843) 722-7526
Fax
(843) 577-0770
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Andrea L. Thomas, LISW-CP
Title
Executive Director
Phone
(843) 722-7526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

19 Saint Margaret St
Charleston, SC 29403-3612

Mailing address

19 Saint Margaret St
Charleston, SC 29403-3612
Phone (843) 722-7526

Other identifiers 1

IdentifierTypeStateIssuer
MC0066MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Florence Crittenton Programs of SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043360670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SAINT MARGARET ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294033612",
            "telephone_number": "843-722-7526",
            "fax_number": "843-577-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SAINT MARGARET ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294033612",
            "telephone_number": "843-722-7526",
            "fax_number": "843-577-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE CRITTENTON PROGRAMS OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-722-7526",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MC0066",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.