Individual provider Active NPI

Elizabeth Woods, LISW-CP

  • Clinical Social Worker
  • Spartanburg, SC
National Provider Identifier
1144801473
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10482 Issued in SC
Practice address
122 Tanglewylde Dr
Spartanburg, SC 29301-2929
Phone
(864) 415-7324
NPI assigned
Apr 19, 2021
Last updated
Apr 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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 10482 SC Primary

Addresses

Primary practice location

122 Tanglewylde Dr
Spartanburg, SC 29301-2929

Mailing address

122 Tanglewylde Dr
Spartanburg, SC 29301-2929
Phone (864) 415-7324

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
I20241028002837 SC Practitioner - Clinical Social Worker 2567995632 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10482SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pace to Peace Wellness Collective LLC Clinical CurrentSince Sep 1, 2024 Accepting new patients
A Step Forward Counseling Services LLC CurrentSince Apr 28, 2025 Accepting new patients

Locations

3620 Pelham Rd
Ste 252
Greenville, SC 29615
Phone (864) 381-7818

Organizations & group practices 2

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": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1144801473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 TANGLEWYLDE DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012929",
            "telephone_number": "864-415-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 TANGLEWYLDE DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012929",
            "telephone_number": "864-415-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "10482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.