Christopher McCoy, LISW-CP, CACII

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9195 Issued in SC

Practice address

10415 Broad River Rd
Suite F
Irmo, SC 29063-9686

Phone

(803) 719-0488

NPI assigned

Nov 26, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1184968448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 BROAD RIVER RD",
            "address_2": "SUITE F",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290639686",
            "telephone_number": "803-719-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10415 BROAD RIVER RD",
            "address_2": "SUITE F",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290639686",
            "telephone_number": "803-719-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "CHRISTOPHER",
        "credential": "LISW-CP, CACII",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-26",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "1404045",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Marie Maxwell
• Maureen McCaffery, M.S.ED., C.A.G.S.
• Carianne Richelle McCarthy, PT, DPT
• Stanley Winger McCloy Jr., MD
• Angel McCollum
• Joanne Salmonsen McGee, SLP
• Justin McGee
• Jeanna Renee McIntosh, M.A., LPC, LPCS, NCC
• Caitlin Rae McKay
• Scott A McKay, MD

• 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 Feb 4, 2016; 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.