Dedra Baskin, LPC-A; ED.D.
Individual provider Active NPI Professional Counselor · Camden, SC
NPI 1144004367 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1144004367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 11229 (SC)
- Practice address
- 405 Revere Cir
Camden, SC 29020-1628 - Phone
- (803) 424-5242
- NPI assigned
- Aug 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11229 | SC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11229 | SC | Yes |
Addresses
Primary practice location
405 Revere Cir
Camden, SC 29020-1628
Mailing address
405 Revere Cir
Camden, SC 29020-1628
Phone (803) 424-5242
Other providers in Camden, SC
- Kimberley Paula Babilon
- Cynthia Nicole Bailey
- Elizabeth Scott Baker
- Jonathan Banks
- Sierra Nacole Barnes
- Rami Yousef Saleem Batarseh
- Stephanie Baxley Batten
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- Mindy Beale
- Murphy Belton
All providers in Camden, SC · Professional Counselor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.