Active NPI
Susan Connolly-Nelson Lisw, LISW
- Clinical Social Worker
- Columbia, SC
National Provider Identifier
1174575385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1733
- Practice address
- 1898 Calhoun Street, Number 8 Rainbow Row,
Columbia, SC 29201 - Phone
- (803) 256-9700
- Fax
- (803) 256-2519
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1733 | SC | Primary |
Addresses
Primary practice location
1898 Calhoun Street, Number 8 Rainbow Row,
Columbia, SC 29201
Mailing address
1898 Calhoun Street, Number 8 Rainbow Row,
Columbia, SC 29201
Phone (803) 256-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1733 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eating Recovery Center the Carolinas | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239321600000",
"number": "1174575385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1898 CALHOUN STREET, NUMBER 8 RAINBOW ROW,",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29201",
"telephone_number": "803-256-9700",
"fax_number": "803-256-2519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1898 CALHOUN STREET, NUMBER 8 RAINBOW ROW,",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29201",
"telephone_number": "803-256-9700",
"fax_number": "803-256-2519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOLLY-NELSON LISW",
"first_name": "SUSAN",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2009-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "1733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
- Connection Place
- John Thomas Connelly III, PA-C
- James Nicholas Conner, DO
- Mariah Elaine Conner, MSW, LCSW, LISW-CP
- Sarah Lee Conner
- Cody Jerome Connor, M.D.
- Deanna L Constable, M.D.
- Continuecare Hospital at Palmetto Health Baptist, Inc.
- Continuecare Hospital at Palmetto Health Baptist, Inc.
- Convenient Clinical Labs LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.