Active NPI
Sam Merritts
- Clinical Social Worker
- Hartsville, SC
National Provider Identifier
1245929405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 900 S 4TH St
Hartsville, SC 29550-5787 - Phone
- (843) 332-4141
- NPI assigned
- May 3, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SC | Primary |
Addresses
Primary practice location
900 S 4TH St
Hartsville, SC 29550-5787
Mailing address
910 Chase St
Florence, SC 29501-2439
Phone (843) 260-4895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1245929405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 CHASE ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295012439",
"telephone_number": "843-260-4895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S 4TH ST",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295505787",
"telephone_number": "843-332-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITTS",
"first_name": "SAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-03",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.