NPIMap

Organization Active NPI

Social Remedies Inc

  • Community/Behavioral Health Agency
  • Manning, SC
National Provider Identifier
1306356639
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOCIAL REMEDIES INC
Practice address
920 Berry St
Manning, SC 29102-2002
Phone
(803) 225-6441
NPI assigned
Sep 30, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dominic Brandon Simon, LMSWNPI 1306393285
Title
Ceo
Phone
(803) 225-6441

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 NU Primary

Addresses

Primary practice location

920 Berry St
Manning, SC 29102-2002

Mailing address

920 Berry St
Manning, SC 29102-2002
Phone (803) 225-6441

National Provider Directory

National Provider Directory
Tax ID family
Social Remedies Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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": "1506729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306356639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 BERRY ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291022002",
            "telephone_number": "803-225-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 BERRY ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291022002",
            "telephone_number": "803-225-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL REMEDIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-225-6441",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manning, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.