Senior Behavioral Group SC LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SENIOR BEHAVIORAL GROUP SC LLC

Practice address

19 Charlestowne Rd
Charleston, SC 29407-7455

Phone

(917) 312-5697

NPI assigned

Jan 27, 2021

Organization subpart

No

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

Authorized official

Name

Jennifer Rachel Levin, LCSW

Title

President

Phone

(917) 312-5697

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1245821818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CHARLESTOWNE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CHARLESTOWNE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077455",
            "telephone_number": "917-312-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR BEHAVIORAL GROUP SC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "RACHEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-312-5697",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney Marvin Seltzer, M.D.
• David Louis Semenoff, M.D.
• James Joseph Seminaroti, LCSW
• Nathan Christopher Seng, D.D.S.
• Katherine Seningen
• Erin Nicole Senior, RN
• Emma Senn
• Erin Seprish, MBA, RDN, LD
• Mario Ernest Serafini, D.O.
• Eva R Serber, PHD

• Community/Behavioral Health Agency in Charleston, SC
• Providers in Charleston, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.