NPIMap

Organization Active NPI

Lynette Consultants

  • Social Worker
  • Okatie, SC
National Provider Identifier
1184005498
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
5782 Issued in SC
Legal business name
LYNETTE CONSULTANTS
Practice address
2 River Club CT
Okatie, SC 29909-4219
Phone
(843) 987-2300
Fax
(843) 987-3819
NPI assigned
Jun 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Kimberly Davis
Title
Credentialing Specialists
Phone
(912) 484-3879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 5782 SC Primary

Addresses

Primary practice location

2 River Club CT
Okatie, SC 29909-4219

Mailing address

2 River Club CT
Okatie, SC 29909-4219
Phone (843) 987-2300

Other identifiers 1

IdentifierTypeStateIssuer
5782OtherSCSTATE LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1184005498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RIVER CLUB CT",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299094219",
            "telephone_number": "843-987-2300",
            "fax_number": "843-987-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RIVER CLUB CT",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299094219",
            "telephone_number": "843-987-2300",
            "fax_number": "843-987-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNETTE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALISTS",
        "authorized_official_telephone_number": "912-484-3879"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "SC",
            "license": "5782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5782",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okatie, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.