Organization Active NPI

Emerald Counseling Center

  • Clinical Social Worker
  • Sumter, SC
National Provider Identifier
1164849782
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9631 Issued in SC
Legal business name
EMERALD COUNSELING CENTER
Practice address
2575 Lin DO CT Ste C
Sumter, SC 29150-1832
Phone
(803) 381-6033
Fax
(803) 462-4848
NPI assigned
Mar 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christy T Slocum, LISW-CP
Title
Owner
Phone
(803) 381-6033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 9631 SC Primary

Addresses

Primary practice location

2575 Lin DO CT Ste C
Sumter, SC 29150-1832

Mailing address

6550 Tipperary LN
Wedgefield, SC 29168-9370
Phone (803) 381-6033

National Provider Directory

National Provider Directory

Locations

4145 Hard Scrabble Rd
Columbia, SC 29223
Phone (803) 381-6033

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1164849782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 TIPPERARY LN",
            "city": "WEDGEFIELD",
            "state": "SC",
            "postal_code": "291689370",
            "telephone_number": "803-381-6033",
            "fax_number": "803-462-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 LIN DO CT STE C",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501832",
            "telephone_number": "803-381-6033",
            "fax_number": "803-462-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "SLOCUM",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-381-6033",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.