Organization Active NPI

Options for Social Change, LLC

  • Community/Behavioral Health Agency
  • N Charleston, SC
National Provider Identifier
1255703575
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SC 1449 Issued in SC
Legal business name
OPTIONS FOR SOCIAL CHANGE, LLC
Practice address
2145 Dorchester Rd
N Charleston, SC 29405-7763
Phone
(843) 343-4188
NPI assigned
Oct 26, 2015
Last updated
Nov 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Ms. Shirley Ford, MSW, LISW CP/APNPI 1821299066
Title
Executive Director
Phone
(843) 343-4188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SC 1449 SC Primary

Addresses

Primary practice location

2145 Dorchester Rd
N Charleston, SC 29405-7763

Mailing address

2396 Erskine Ave
Charleston, SC 29414-7004
Phone (843) 343-4188

Other identifiers 1

IdentifierTypeStateIssuer
K2T2J72GD2FM0DBMedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1255703575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2396 ERSKINE AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294147004",
            "telephone_number": "843-343-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 DORCHESTER RD",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294057763",
            "telephone_number": "843-343-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIONS FOR SOCIAL CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-343-4188",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LISW CP/AP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "SC 1449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K2T2J72GD2FM0DB",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.