Individual provider Active NPI

Nedra Jeffords, LISW-CP

  • Clinical Social Worker
  • Darlington, SC
National Provider Identifier
1083127534
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16437 Issued in SC
Practice address
115 Exchange St
Darlington, SC 29532-3203
Phone
(843) 393-9421
NPI assigned
Nov 7, 2017
Last updated
May 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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 16437 SC Primary

Addresses

Primary practice location

115 Exchange St
Darlington, SC 29532-3203

Mailing address

8906 Two Notch Rd
Columbia, SC 29223-6366
Phone (803) 254-3676

Other identifiers 1

IdentifierTypeStateIssuer
LW1105MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102003995 SC Practitioner - Clinical Social Worker 9931559937 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16437SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Healthcare, Inc. Current Accepting new patients
Genesis Healthcare, Inc. CurrentSince Oct 17, 2023 Accepting new patients
Genesis Healthcare, Inc. CurrentSince Oct 17, 2023 Accepting new patients
Starting Point of Florence, Inc Past Accepting new patients

Locations

8906 Two Notch Rd
Columbia, SC 29223
Phone (803) 254-3676

115 Exchange St
Darlington, SC 29532
Phone (843) 393-9421

201 Cashua St
Darlington, SC 29532
Phone (843) 383-7452

Organizations & group practices 4

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": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1083127534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236366",
            "telephone_number": "803-254-3676",
            "fax_number": "803-254-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EXCHANGE ST",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295323203",
            "telephone_number": "843-393-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFORDS",
        "first_name": "NEDRA",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "16437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LW1105",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darlington, SC

Sources for this page

Verify at the official NPI Registry.