Individual provider Active NPI

Charlene G. Gainey, LISW-CP

  • Clinical Social Worker
  • Aiken, SC
National Provider Identifier
1053710178
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10764 Issued in SC
Practice address
41 University Parkway
Suite 2300
Aiken, SC 29801-6807
Phone
(803) 335-1219
Fax
(803) 335-1689
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10764 SC Primary

Addresses

Primary practice location

41 University Parkway
Suite 2300
Aiken, SC 29801-6807

Mailing address

410 University Parkway
Suite 2300
Aiken, SC 29801-6807
Phone (803) 335-1219

Other identifiers 1

IdentifierTypeStateIssuer
SW1196MedicaidSC

Other names 1

  • Charlene Glover, Ward Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

410 University Pkwy
Suite 2300
Aiken, SC 29801-6807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Counseling Clinical CurrentSince Feb 11, 2019 Accepting new patients

Locations

410 University Pkwy
Ste 2300
Aiken, SC 29801
Phone (803) 226-0745

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1053710178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PARKWAY",
            "address_2": "SUITE 2300",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016807",
            "telephone_number": "803-335-1219",
            "fax_number": "803-335-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 UNIVERSITY PARKWAY",
            "address_2": "SUITE 2300",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016807",
            "telephone_number": "803-335-1219",
            "fax_number": "803-335-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINEY",
        "first_name": "CHARLENE",
        "middle_name": "G.",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "10764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1196",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLENE",
            "last_name": "GLOVER, WARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.