Individual provider Active NPI

Elizabeth J Divver, MSW

  • Social Worker
  • Anderson, SC
National Provider Identifier
1215016530
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2319 Issued in SC
Practice address
616 Bonham CT
Anderson, SC 29621-5502
Phone
(864) 844-8018
Fax
(864) 328-3210
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2319 SC Primary

Addresses

Primary practice location

616 Bonham CT
Anderson, SC 29621-5502

Mailing address

616 Bonham CT
Anderson, SC 29621-5502
Phone (864) 844-8019

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090123000049 SC Practitioner - Clinical Social Worker 0749248748 Practice locations: Anderson, SC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

616 Bonham CT
Anderson, SC 29621-5502
Phone (864) 884-8019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2319SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
John W Martin Jr MD PA PastSince Oct 1, 2008 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1215016530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 BONHAM CT",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215502",
            "telephone_number": "864-844-8019",
            "fax_number": "864-328-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 BONHAM CT",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215502",
            "telephone_number": "864-844-8018",
            "fax_number": "864-328-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVVER",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "2319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.