Active NPI
Mary Beth Hyatt, LISW-CP
- Clinical Social Worker
- Gaffney, SC
National Provider Identifier
1134210958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8383
- Practice address
- 107 W Frederick St
Gaffney, SC 29340-2427 - Phone
- (864) 649-5123
- Fax
- (864) 515-4403
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8383 | SC | |
| Clinical Social Worker | 1041C0700X | 8383 | SC | Primary |
Addresses
Primary practice location
107 W Frederick St
Gaffney, SC 29340-2427
Mailing address
107 W Frederick St
Gaffney, SC 29340-2427
Phone (864) 649-5123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W79245SC1 | Medicaid | SC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8383 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tranquil Solutions | Clinical | Past | Accepting new patients |
| South Carolina Dept of Mental Health Accounting Office | Past | Accepting new patients | |
| South Carolina Dept of Mental Health Accounting Office | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Gaffney, SC
- NPI 1457806374
-
- Community/Behavioral Health Agency
- Columbia, SC
- NPI 1083421994
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Spartanburg, SC
- NPI 1427168889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1134210958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 W FREDERICK ST",
"city": "GAFFNEY",
"state": "SC",
"postal_code": "293402427",
"telephone_number": "864-649-5123",
"fax_number": "864-515-4403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 W FREDERICK ST",
"city": "GAFFNEY",
"state": "SC",
"postal_code": "293402427",
"telephone_number": "864-649-5123",
"fax_number": "864-515-4403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYATT",
"first_name": "MARY",
"middle_name": "BETH",
"credential": "LISW-CP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "8383",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "8383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W79245SC1",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gaffney, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.