Individual provider Active NPI

Bedelia Burchette Gant, MSW, LISW-CP

  • Clinical Social Worker
  • Pawleys Island, SC
National Provider Identifier
1326355181
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9401 Issued in SC
Practice address
10080 Ocean Hwy Unit 8
Pawleys Island, SC 29585-5898
Phone
(843) 421-5848
Fax
(843) 492-4154
NPI assigned
Aug 31, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 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 9401 SC Primary

Addresses

Primary practice location

10080 Ocean Hwy Unit 8
Pawleys Island, SC 29585-5898

Mailing address

PO Box 1866
Murrells Inlet, SC 29576-1866
Phone (843) 421-5848

Other names 1

  • Bedelia Burchette Murray Other 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
I20110126000193 SC Practitioner - Clinical Social Worker 0345429130 Practice locations: Murrells Inlet, SC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

641 Little Tony Ave
Murrells Inlet, SC 29576-6281
Phone (843) 421-5848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9401SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Real Solutions of Murrells Inlet Inc. Past Accepting new patients

Organizations & group practices 1

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": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1326355181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1866",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295761866",
            "telephone_number": "843-421-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10080 OCEAN HWY UNIT 8",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295855898",
            "telephone_number": "843-421-5848",
            "fax_number": "843-492-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANT",
        "first_name": "BEDELIA",
        "middle_name": "BURCHETTE",
        "credential": "MSW, LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEDELIA",
            "last_name": "MURRAY",
            "middle_name": "BURCHETTE",
            "credential": "LISW-CP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pawleys Island, SC

Sources for this page

Verify at the official NPI Registry.