Irmo Counseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6494 Issued in SC

Legal business name

IRMO COUNSELING SERVICES

Doing business as

Melinda Somerville

Practice address

7434 Forest Court
Irmo, SC 29063

Phone

(803) 407-0088

Fax

(803) 407-4457

NPI assigned

Dec 2, 2011

Last updated

Dec 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Melinda Saunders Somerville, LISW-CP

Title

Clinical Counselor/Owner

Phone

(803) 407-0088

Specialties & licenses 1

Addresses

Other names 1

• Melinda Somerville Doing business as

Locations

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1174891394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1372",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "29063",
            "telephone_number": "803-407-0088",
            "fax_number": "803-407-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7434 FOREST COURT",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "29063",
            "telephone_number": "803-407-0088",
            "fax_number": "803-407-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRMO COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "SOMERVILLE",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "SAUNDERS",
        "authorized_official_title_or_position": "CLINICAL COUNSELOR/OWNER",
        "authorized_official_telephone_number": "803-407-0088",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "6494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melinda Somerville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kailya Marshe Hyman, PHARMD
• Takeo Ichiyanagi, MS, ATC
• Impactworks, LLC
• Inspired Wellness, LLC (Angela S. Jackson)
• Integrity Therapy Services, LLC
• Irmo Drug Inc (Irmo Drug)
• Irmo Family Chiropractic, Inc
• Irmo Kids Dental LLC (Irmo Dentistry)
• Irmo Primary Eyecare LLC (Irmo Primary Eyecare)
• Everlena Isaac

• Clinical Social Worker in Irmo, SC
• Providers in Irmo, 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 Dec 2, 2011; 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.