Dee Jacobi-Edwards, M.ED., LPTA, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12955 Issued in SC

Practice address

3300 W Montague Ave Ste 203
N Charleston, SC 29418-5907

Phone

(843) 740-6999

Fax

(843) 740-5433

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 8

Addresses

Other identifiers 1

Other names 1

• Mrs. Donna Marie Buchanan & Delmonte Former name

Medicare fee-for-service enrollment

Enrolled in DC, SC2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  DC

  Medicare reassignment Care Compare group
• The Mary Jenkins Center for Behavioral Health LLC

  • Psychiatry Physician
  • North Charleston, SC
  • NPI 1205979630
  NPD

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1174654198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 JAMESBURY RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294927814",
            "telephone_number": "972-998-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W MONTAGUE AVE STE 203",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294185907",
            "telephone_number": "843-740-6999",
            "fax_number": "843-740-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBI-EDWARDS",
        "first_name": "DEE",
        "name_prefix": "Ms.",
        "credential": "M.ED., LPTA, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58863",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011004",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012079",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "2794",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "004753-1",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2057623",
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "TX",
            "license": "00088976",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "12955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "13955",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "BUCHANAN & DELMONTE",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "M.ED.,  CRC, LPTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hunter Spine and Pain Center
• Alison O. Inglis, PA-C
• Instinctive Wellness, LLC
• Internal Medicine and Geriatrics Associates LLC
• Tara D Jackson
• Michael C Jacobs, RPH
• Paul F Jacques, PA
• JC & Shannon Healthcare
• James Edward Jenkins, MD
• Jeter & Welch Dentistry LLC

• Clinical Social Worker in N Charleston, SC
• Providers in N Charleston, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.