Individual provider Active NPI

Polly Suzette Hawkins-Guest, LISW-CP

  • Clinical Social Worker
  • Anderson, SC
National Provider Identifier
1083940613
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7122 Issued in SC
Practice address
616 Bonham CT
Anderson, SC 29621-5502
Phone
(864) 844-8019
Fax
(864) 328-3210
NPI assigned
Nov 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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 7122 SC Primary

Addresses

Primary practice location

616 Bonham CT
Anderson, SC 29621-5502

Mailing address

616 Bonham CT
Anderson, SC 29621-5502
Phone (864) 225-0792

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
I20100429000910 SC Practitioner - Clinical Social Worker 9739216367 Practice locations: Anderson, SC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of South Carolina School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

616 Bonham CT
Anderson, SC 29621-5502
Phone (864) 844-8019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7122SCMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John W Martin Jr MD PA Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1083940613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 BONHAM CT",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215502",
            "telephone_number": "864-225-0792",
            "fax_number": "864-226-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 BONHAM CT",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215502",
            "telephone_number": "864-844-8019",
            "fax_number": "864-328-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS-GUEST",
        "first_name": "POLLY",
        "middle_name": "SUZETTE",
        "name_prefix": "Mrs.",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "7122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.