Individual provider Active NPI

Abdul Karim Kargbo, MSW,LISW-CP

  • Clinical Social Worker
  • Summerville, SC
National Provider Identifier
1073157749
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15427 Issued in SC
Practice address
323 Eclipse St
Summerville, SC 29486-2931
Phone
(202) 714-7902
NPI assigned
Nov 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 15427 SC Primary

Addresses

Primary practice location

323 Eclipse St
Summerville, SC 29486-2931

Mailing address

323 Eclipse St
Summerville, SC 29486-2931
Phone (202) 714-7902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221206002308 SC Practitioner - Clinical Social Worker 4486075496 Reassigns benefits to 3 organizations
I20250409000257 DC Practitioner - Clinical Social Worker 4486075496 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15427SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Seybo Therapy and Counseling Addiction (Substance Use Disorder) CurrentSince Oct 13, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Mar 4, 2025 Accepting new patients
Thrive Counseling LLC CurrentSince Oct 12, 2022 Accepting new patients

Locations

529 14th St NW
Ste 1170
Washington, DC 20045
Phone (202) 221-8410

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

215 E Bay St
Ste 404
Charleston, SC 29401
Phone (803) 403-0294

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

4975 Lacross Rd
Ste 351
North Charleston, SC 29406
Phone (800) 309-1159

6076 Franconia Rd
Ste D
Alexandria, VA 22310
Phone (703) 828-9054

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 3

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": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073157749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 ECLIPSE ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294862931",
            "telephone_number": "202-714-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 ECLIPSE ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294862931",
            "telephone_number": "202-714-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARGBO",
        "first_name": "ABDUL",
        "middle_name": "KARIM",
        "credential": "MSW,LISW-CP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-05",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "15427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.