Individual provider Active NPI

Elizabeth Elaine Daniels, LISW-CP, LCSW

  • Clinical Social Worker
  • Summerville, SC
National Provider Identifier
1225610728
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14827 Issued in SC
Practice address
314 W 4TH North St
Summerville, SC 29483-6550
Phone
(843) 501-1099
NPI assigned
Apr 23, 2021
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220926001839 SC Practitioner - Clinical Social Worker 0941686166 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C013828NCMDClinical Social Worker
14827SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Myrtle Beach Counseling Center CurrentSince Nov 7, 2022 Accepting new patients
River Region Psychiatry Associates LLC CurrentSince Jun 3, 2025 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.

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

Verify at the official NPI Registry.