Active NPI
Counseling Services of SC LLC
- Clinical Social Worker
- Rock Hill, SC
National Provider Identifier
1093638199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- COUNSELING SERVICES OF SC LLC
- Practice address
- 140 E Main St Ste 410
Rock Hill, SC 29730-2505 - Phone
- (803) 288-0051
- NPI assigned
- Aug 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Cannon, LCSW
- Title
- LCSW/Owner
- Phone
- (803) 288-0051
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
140 E Main St Ste 410
Rock Hill, SC 29730-2505
Mailing address
512 Pond View LN
Richburg, SC 29729-0090
Phone (803) 322-7880
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787788800000",
"number": "1093638199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 POND VIEW LN",
"city": "RICHBURG",
"state": "SC",
"postal_code": "297290090",
"telephone_number": "803-322-7880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 E MAIN ST STE 410",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297302505",
"telephone_number": "803-288-0051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNSELING SERVICES OF SC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-04",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A",
"authorized_official_last_name": "CANNON",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "LCSW/OWNER",
"authorized_official_telephone_number": "803-288-0051",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.