NPIMap

Individual provider Active NPI

Carol A Kieny, LCSW, LISW-CP

  • Clinical Social Worker
  • Columbia, SC
National Provider Identifier
1316276504
Registry record updated Jun 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10701 Issued in SC
Practice address
1703 Richland St
Columbia, SC 29201-2635
Phone
(803) 850-0022
Fax
(844) 517-6513
NPI assigned
Dec 16, 2009
Last updated
Jun 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00838000 NJ
Clinical Social Worker 1041C0700X 10701 SC Primary
Clinical Social Worker 1041C0700X CW017565 PA
Clinical Social Worker 1041C0700X 59127 TX

Addresses

Primary practice location

1703 Richland St
Columbia, SC 29201-2635

Mailing address

1703 Richland St
Columbia, SC 29201-2635
Phone (803) 850-0022

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
10701SCMDMental Health Counselor
CW017565PAMDClinical Social Worker
59127TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Physician Associates of South Jersey LLC Past Accepting new patients
Moorestown Visiting Nurse Association Inc Past Accepting new patients
Moorestown Visiting Nurse Association Inc Past Accepting new patients

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, 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": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466208000000",
    "number": "1316276504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 RICHLAND ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012635",
            "telephone_number": "803-850-0022",
            "fax_number": "844-517-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 RICHLAND ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012635",
            "telephone_number": "803-850-0022",
            "fax_number": "844-517-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIENY",
        "first_name": "CAROL",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW, LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2016-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00838000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "10701",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017565",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59127",
            "primary": false
        }
    ],
    "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 Jun 18, 2016; 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.