Mending Bridges Case Management

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

MENDING BRIDGES CASE MANAGEMENT

Practice address

552 Oatland Rd
Georgetown, SC 29440-5983

Phone

(843) 833-8124

NPI assigned

Mar 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Ebone Smith-MorantNPI 1699272757

Title

Owner/Administrator

Phone

(843) 833-8124

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ebone Smith-Morant, LCSW

  • Clinical Social Worker
  • Charleston, SC
  • NPI 1699272757
  NPD Authorized official

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1063160026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 JEROME DR",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294406017",
            "telephone_number": "843-833-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 OATLAND RD",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294405983",
            "telephone_number": "843-833-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING BRIDGES CASE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "SMITH-MORANT",
        "authorized_official_first_name": "EBONE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "843-833-8124",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McCrea Ewart MD PA
• Dalzell Ginn McDilda, M.ED.CCC-SLP
• Deborah R. McKee, C.N.M.
• Edna Elizabeth McMillan, RN, BSN,CDE
• Jeffrey David Meinert
• Andrew Merritt, MD
• Jillian R Metherd, RD
• Michael E Piepenbring DMD Ms PC
• Mary L Michael, CRNA
• John A Miller, D.M.D.

• Case Manager/Care Coordinator in Georgetown, SC
• Providers in Georgetown, SC by specialty
• Case Manager/Care Coordinator in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.