Active NPI
Options for Social Change, LLC
- Community/Behavioral Health Agency
- N Charleston, SC
National Provider Identifier
1255703575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- SC 1449
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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/AP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K2T2J72GD2FM0DB | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- N Charleston, SC
- NPI 1821299066
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.