Individual provider Active NPI

Tamika Lashawna Earle, LMSW

  • Clinical Social Worker
  • Pendleton, SC
National Provider Identifier
1235523929
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17702 Issued in SC
Practice address
1039 Williams St
Pendleton, SC 29670-9476
Phone
(864) 376-0425
NPI assigned
Mar 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 17702 SC Primary

Addresses

Primary practice location

1039 Williams St
Pendleton, SC 29670-9476

Mailing address

1039 Williams St
Pendleton, SC 29670-9476
Phone (864) 376-0425

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
I20250620001138 SC Practitioner - Clinical Social Worker 0648782292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Socalm LLCGroup PAC ID 6800236084, 10 clinicians

Practice addresses (Care Compare)

14 Trollingwood Way
Pelzer, SC 29669-9440
Phone (864) 518-7759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17702SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Socalm LLC CurrentSince Sep 8, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 28, 2025 Accepting new patients

Locations

170 Meeting St
Charleston, SC 29401
Phone (843) 983-8320

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1235523929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 WILLIAMS ST",
            "city": "PENDLETON",
            "state": "SC",
            "postal_code": "296709476",
            "telephone_number": "864-376-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 WILLIAMS ST",
            "city": "PENDLETON",
            "state": "SC",
            "postal_code": "296709476",
            "telephone_number": "864-376-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLE",
        "first_name": "TAMIKA",
        "middle_name": "LASHAWNA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-20",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "17702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, SC

Sources for this page

Verify at the official NPI Registry.