Active NPI
Maryanne Zabrycki
- Clinical Social Worker
- North Myrtle Beach, SC
National Provider Identifier
1063561082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14286
- Practice address
- 1016 2ND Ave N Ste 205
North Myrtle Beach, SC 29582-3288 - Phone
- (843) 491-3344
- NPI assigned
- Jan 9, 2007
- Last updated
- Jun 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14286 | SC | Primary |
Addresses
Primary practice location
1016 2ND Ave N Ste 205
North Myrtle Beach, SC 29582-3288
Mailing address
1016 2ND Ave N Ste 205
North Myrtle Beach, SC 29582-3288
Phone (843) 491-3344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1551 21St Ave N
Suite 17
Myrtle Beach, SC 29577-7496
Phone (843) 868-6200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14286 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etheria Counseling LLC | Clinical | Current | Accepting new patients |
Locations
1551 21st Ave N
Ste 17
Myrtle Beach, SC 29577
Phone (843) 868-6200
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1063561082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 2ND AVE N STE 205",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295823288",
"telephone_number": "843-491-3344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 2ND AVE N STE 205",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295823288",
"telephone_number": "843-491-3344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZABRYCKI",
"first_name": "MARYANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "14286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.