Individual provider Active NPI

Candice Marie Fiorini, LISW-CP

  • Clinical Social Worker
  • Galivants Ferry, SC
National Provider Identifier
1164999702
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12123 Issued in SC
Practice address
2210 Highway 129
Galivants Ferry, SC 29544-6879
Phone
(860) 916-2735
NPI assigned
Nov 1, 2018
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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 12123 SC Primary

Addresses

Primary practice location

2210 Highway 129
Galivants Ferry, SC 29544-6879

Mailing address

2210 Highway 129
Galivants Ferry, SC 29544-6879
Phone (860) 916-2735

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
I20200417003158 SC Practitioner - Clinical Social Worker 2567892342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Counseling Center PCGroup PAC ID 6204125107, 186 clinicians

Practice addresses (Care Compare)

608 16TH Ave N
Suite G
Myrtle Beach, SC 29577-3537
Phone (843) 501-1099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12123SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Counseling Center PC Clinical CurrentSince Aug 11, 2022 Accepting new patients

Locations

871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137

608 16th Ave N
Ste G
Myrtle Beach, SC 29577
Phone (843) 823-5132

Organizations & group practices 1

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": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1164999702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 HIGHWAY 129",
            "city": "GALIVANTS FERRY",
            "state": "SC",
            "postal_code": "295446879",
            "telephone_number": "860-916-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 HIGHWAY 129",
            "city": "GALIVANTS FERRY",
            "state": "SC",
            "postal_code": "295446879",
            "telephone_number": "860-916-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORINI",
        "first_name": "CANDICE",
        "middle_name": "MARIE",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "12123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galivants Ferry, SC

Sources for this page

Verify at the official NPI Registry.