Organization Active NPI

Dove Meadow Therapy Co, LLC

  • Clinical Social Worker
  • Charleston, SC
National Provider Identifier
1063331353
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DOVE MEADOW THERAPY CO, LLC
Practice address
669 Marina Dr Ste B6
Charleston, SC 29492-8120
Phone
(781) 291-1286
NPI assigned
Jul 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Emma Lee Rush, LCSW
Title
LCSW
Phone
(781) 291-1286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

669 Marina Dr Ste B6
Charleston, SC 29492-8120

Mailing address

416 Gianna LN
Goose Creek, SC 29445-3672

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1063331353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 GIANNA LN",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 MARINA DR STE B6",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294928120",
            "telephone_number": "781-291-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE MEADOW THERAPY CO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "EMMA LEE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "781-291-1286",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Jul 13, 2026; 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.