Individual provider Active NPI

Susan Madigan McCombs, PHD LMSW

  • Clinical Social Worker
  • Bluffton, SC
National Provider Identifier
1083999536
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11677 Issued in SC
Practice address
27 Canterbury CT
Bluffton, SC 29909-1012
Phone
(810) 772-9490
Fax
(810) 471-4946
NPI assigned
Oct 17, 2011
Last updated
Sep 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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 11677 SC Primary

Addresses

Primary practice location

27 Canterbury CT
Bluffton, SC 29909-1012

Mailing address

27 Canterbury CT
Bluffton, SC 29909-1012
Phone (810) 772-9490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
11677SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sos Livingston 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, 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": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1083999536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CANTERBURY CT",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299091012",
            "telephone_number": "810-772-9490",
            "fax_number": "810-471-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CANTERBURY CT",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299091012",
            "telephone_number": "810-772-9490",
            "fax_number": "810-471-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMBS",
        "first_name": "SUSAN",
        "middle_name": "MADIGAN",
        "name_prefix": "Dr.",
        "credential": "PHD LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "11677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.