Social Change Initiative

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOCIAL CHANGE INITIATIVE

Practice address

1402 C Hwy 72 West
Greenwood, SC 29649

Phone

(864) 388-4102

NPI assigned

Jun 18, 2015

Last updated

Jun 18, 2015By 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

Michael Gaskin

Title

President/Ceo

Phone

(864) 388-4102

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1174905806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 C HWY 72 WEST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "29649",
            "telephone_number": "864-388-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 C HWY 72 WEST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "29649",
            "telephone_number": "864-388-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL CHANGE INITIATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "GASKIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "864-388-4102"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Nichole Snelgrove, PT, DPT
• SNH SC Tenant LLC (Morningside of Greenwood)
• Lindsay Fuqua Snider, DMD
• Timothy Michael Snider, D.M.D.
• Hallie Snyder
• Danielle McGaha Sommers
• Suresh Chandra Soni, MD
• Jose William Sotelo, MD
• Caroline Duffy Souter, NP
• William H Souter, MD

• Community/Behavioral Health Agency in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.