Individual provider Active NPI

Brittney LJ Clow, LISW-CP

  • Clinical Social Worker
  • Greenville, SC
National Provider Identifier
1275832339
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11237 Issued in SC
Practice address
4006 E North St Ste C
Greenville, SC 29615-6206
Phone
(864) 326-4696
Fax
(864) 660-9542
NPI assigned
Mar 15, 2011
Last updated
Jan 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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 11237 SC Primary

Addresses

Primary practice location

4006 E North St Ste C
Greenville, SC 29615-6206

Mailing address

4006 E North St Ste C
Greenville, SC 29615-6206
Phone (864) 326-4696

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
I20220715000697 SC Practitioner - Clinical Social Worker 0042450546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4006 E N St
Suite C
Greenville, SC 29615-6206
Phone (864) 326-4696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11237SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Csog LLC CurrentSince Mar 5, 2022 Accepting new patients

Locations

4006 E North St
Ste C
Greenville, SC 29615
Phone (864) 326-4696

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1275832339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 E NORTH ST STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156206",
            "telephone_number": "864-326-4696",
            "fax_number": "864-660-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 E NORTH ST STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156206",
            "telephone_number": "864-326-4696",
            "fax_number": "864-660-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOW",
        "first_name": "BRITTNEY",
        "middle_name": "LJ",
        "name_prefix": "Mrs.",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-15",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "11237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.