Active NPI
Gwendolyn Regina Lakin, LISW-CP
- Clinical Social Worker
- Columbia, SC
National Provider Identifier
1316145584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5
- Practice address
- 6439 Garners Ferry Rd
Columbia, SC 29209-1638 - Phone
- (803) 776-4000
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 06092913 | SC | |
| Clinical Social Worker | 1041C0700X | 5 | SC | Primary |
Addresses
Primary practice location
6439 Garners Ferry Rd
Columbia, SC 29209-1638
Mailing address
6439 Garners Ferry Rd
Columbia, SC 29209-1638
Phone (803) 798-4989
Other practice location 1
2715 Colonial Dr
Columbia, SC 29203-6818
Phone (803) 898-4863
Other practice location 2
2715 Colonial Dr
Columbia, SC 29203-6818
Phone (803) 898-4863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1316145584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6439 GARNERS FERRY RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292091638",
"telephone_number": "803-798-4989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6439 GARNERS FERRY RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292091638",
"telephone_number": "803-776-4000"
}
],
"practiceLocations": [
{
"address_1": "2715 Colonial Dr",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036818",
"country_code": "US",
"telephone_number": "803-898-4863",
"fax_number": "803-898-4899",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2715 Colonial Dr",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036818",
"country_code": "US",
"telephone_number": "803-898-4863",
"fax_number": "803-898-4899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAKIN",
"first_name": "GWENDOLYN",
"middle_name": "REGINA",
"credential": "LISW-CP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "SC",
"license": "06092913",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.