Individual provider Active NPI

Maria Irina Cromer, LISW

  • Clinical Social Worker
  • Columbia, SC
National Provider Identifier
1295070373
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9540 Issued in SC
Practice address
409 Evelyn Dr
Columbia, SC 29210-5212
Phone
(803) 216-0850
Fax
(803) 216-0420
NPI assigned
Nov 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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 9540 SC Primary

Addresses

Primary practice location

409 Evelyn Dr
Columbia, SC 29210-5212

Mailing address

449 Woodhouse Loop
Irmo, SC 29063-7781
Phone (803) 216-0850

Other names 1

  • Maria Irina Jonas Former name

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
I20130315000338 SC Practitioner - Clinical Social Worker 4385889567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of South Carolina School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10415 Broad River Rd
Unit J
Irmo, SC 29063-9686
Phone (803) 983-1749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9540SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cromer Counseling, PA Clinical CurrentSince Nov 2, 2020 Accepting new patients
Barnabas Behavioral Healthcare, LLC Clinical CurrentSince Feb 1, 2013 Accepting new patients
Deep Roots Therapy, LLC Clinical PastSince Feb 1, 2013 Accepting new patients

Locations

409 Evelyn Dr
Columbia, SC 29210
Phone (803) 216-0850

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1295070373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 WOODHOUSE LOOP",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637781",
            "telephone_number": "803-216-0850",
            "fax_number": "803-216-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 EVELYN DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105212",
            "telephone_number": "803-216-0850",
            "fax_number": "803-216-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROMER",
        "first_name": "MARIA",
        "middle_name": "IRINA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-30",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "JONAS",
            "middle_name": "IRINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.