Organization Active NPI

Palmetto Behavorial Health Solutions

  • Clinical Social Worker
  • Charleston, SC
National Provider Identifier
1053481507
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7381 Issued in SC
Legal business name
PALMETTO BEHAVORIAL HEALTH SOLUTIONS
Practice address
2900 Evatt LN Ste 106
Charleston, SC 29405-8700
Phone
(843) 745-5153
NPI assigned
Nov 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Chloe Perez
Title
Child and Adolescent Therapist
Phone
(843) 745-5153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7381 SC Primary

Addresses

Primary practice location

2900 Evatt LN Ste 106
Charleston, SC 29405-8700

Mailing address

2900 Evatt LN Ste 106
Charleston, SC 29405-8700

National Provider Directory

National Provider Directory

Locations

2900 Evatt Ln
Ste 106
North Charleston, SC 29405
Phone (843) 745-5153

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053481507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 EVATT LN STE 106",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294058700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 EVATT LN STE 106",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294058700",
            "telephone_number": "843-745-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO BEHAVORIAL HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "CHLOE",
        "authorized_official_title_or_position": "CHILD AND ADOLESCENT THERAPIST",
        "authorized_official_telephone_number": "843-745-5153"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "7381",
            "primary": true
        }
    ],
    "identifiers": [],
    "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.