Active NPI
Marilyn D. Ackerman, LISW,AP,BACS
- Clinical Social Worker
- Mt Pleasant, SC
National Provider Identifier
1295036200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8972
- Practice address
- 409 Coleman Blvd
Ste 2 B
Mt Pleasant, SC 29464-4391 - Phone
- (843) 606-2008
- NPI assigned
- Nov 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 8972 | SC | Primary |
Addresses
Primary practice location
409 Coleman Blvd
Ste 2 B
Mt Pleasant, SC 29464-4391
Mailing address
1029 Island View CT
Charleston, SC 29492-8038
Phone (843) 606-2008
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8972 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289088000000",
"number": "1295036200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 ISLAND VIEW CT",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294928038",
"telephone_number": "843-606-2008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 COLEMAN BLVD",
"address_2": "STE 2 B",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294644391",
"telephone_number": "843-606-2008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERMAN",
"first_name": "MARILYN",
"middle_name": "D.",
"credential": "LISW,AP,BACS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-07",
"last_updated": "2010-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "8972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.