Kershaw County Board of Disabilities and Special Needs

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

KERSHAW COUNTY BOARD OF DISABILITIES AND SPECIAL NEEDS

Practice address

1619 Jefferson Davis Highway
Camden, SC 29020

Phone

(803) 432-4841

Fax

(803) 424-2280

NPI assigned

May 20, 2019

Organization subpart

No

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

Authorized official

Name

Zenobia Corley

Title

Executive Director

Phone

(803) 432-4841

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Angela Lawson, CNA,DSP,OT

  • Personal Care Attendant
  • Camden, SC
  • NPI 1427900794
  NPD (past)

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1205493871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290210310",
            "telephone_number": "803-432-4841",
            "fax_number": "803-424-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 JEFFERSON DAVIS HIGHWAY",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "29020",
            "telephone_number": "803-432-4841",
            "fax_number": "803-424-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERSHAW COUNTY BOARD OF DISABILITIES AND SPECIAL NEEDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "CORLEY",
        "authorized_official_first_name": "ZENOBIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-432-4841"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Jane Kelly-Lowery
• Amanda Kendall, MCD,CCC-SLP
• Kershaw Anesthesia, LLC
• Kershaw Cnty Psych LLC
• Kershaw County Adult Day Care Center
• Kershaw County Commission on Alcohol and Drug Abuse
• Kershaw County Commission on Alcohol and Drug Abuse (ALPHA Behavioral Health Center)
• Kershaw County School District
• Kershaw County School District
• Kershaw County Teen Health Promotion Coalition

• Early Intervention Provider Agency in Camden, SC
• Providers in Camden, SC by specialty
• Early Intervention Provider Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.