Active NPI
Elizabeth Elaine Daniels, LISW-CP, LCSW
- Clinical Social Worker
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14827
- Practice address
- 314 W 4TH North St
Summerville, SC 29483-6550 - Phone
- (843) 501-1099
- NPI assigned
- Apr 23, 2021
- Last updated
- Aug 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C013828 | NC | |
| Clinical Social Worker | 1041C0700X | 14827 | SC | Primary |
Addresses
Primary practice location
314 W 4TH North St
Summerville, SC 29483-6550
Mailing address
107 Hulton LN
Summerville, SC 29485-3496
Phone (828) 244-7957
Other practice location 1
2995 Peachtree Street Ext
Claremont, NC 28610-8629
Phone (980) 285-2479
Other practice location 2
333 E Shore Rd Ste 206
Manhasset, NY 11030-2900
Phone (516) 395-6465
Other practice location 3
107 Hulton Ln
Summerville, SC 29485-3496
Phone (828) 244-7957
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C013828 | NC | MD | Clinical Social Worker |
| 14827 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myrtle Beach Counseling Center | Current | Accepting new patients | |
| River Region Psychiatry Associates LLC | Current | Accepting new patients |
Locations
233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188
1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311
871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137
2680 Elms Plantation Blvd
Ste 101
North Charleston, SC 29406
Phone (843) 553-7122
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ally Psychiatry
- Psychiatry Physician
- Montgomery, AL
- NPI 1386891497
SC
-
- Mental Health Counselor
- Myrtle Beach, SC
- NPI 1235784661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1225610728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 HULTON LN",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294853496",
"telephone_number": "828-244-7957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 W 4TH NORTH ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294836550",
"telephone_number": "843-501-1099"
}
],
"practiceLocations": [
{
"address_1": "2995 Peachtree Street Ext",
"address_purpose": "LOCATION",
"city": "Claremont",
"state": "NC",
"postal_code": "286108629",
"country_code": "US",
"telephone_number": "980-285-2479",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 E Shore Rd Ste 206",
"address_purpose": "LOCATION",
"city": "Manhasset",
"state": "NY",
"postal_code": "110302900",
"country_code": "US",
"telephone_number": "516-395-6465",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "107 Hulton Ln",
"address_purpose": "LOCATION",
"city": "Summerville",
"state": "SC",
"postal_code": "294853496",
"country_code": "US",
"telephone_number": "828-244-7957",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANIELS",
"first_name": "ELIZABETH",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "LISW-CP, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-23",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C013828",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "14827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.