Individual provider Active NPI

Helen Kluiters, LISW-CP

  • Clinical Social Worker
  • Columbia, SC
National Provider Identifier
1174038475
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10447 Issued in SC
Practice address
468 N Kings Grant Dr
Columbia, SC 29209-0839
Phone
(803) 463-0787
NPI assigned
Dec 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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 10447 SC Primary

Addresses

Primary practice location

468 N Kings Grant Dr
Columbia, SC 29209-0839

Mailing address

468 N Kings Grant Dr
Columbia, SC 29209-0839
Phone (803) 463-0787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2023 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1174038475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 N KINGS GRANT DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292090839",
            "telephone_number": "803-463-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 N KINGS GRANT DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292090839",
            "telephone_number": "803-463-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUITERS",
        "first_name": "HELEN",
        "name_prefix": "Mrs.",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "10447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.