Individual provider Active NPI

Ann Elizabeth Geagan, MSW

  • Clinical Social Worker
  • North Myrtle Beach, SC
National Provider Identifier
1346306412
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6264 Issued in SC
Practice address
2408 Bert Dr
North Myrtle Beach, SC 29582-4322
Phone
(774) 207-8023
NPI assigned
Dec 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6264 SC Primary
Clinical Social Worker 1041C0700X 113770 MA

Addresses

Primary practice location

2408 Bert Dr
North Myrtle Beach, SC 29582-4322

Mailing address

2408 Bert Dr
North Myrtle Beach, SC 29582-4322
Phone (774) 207-8023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031117000789 SC Practitioner - Clinical Social Worker 8729992417 Practice locations: North Myrtle Beach, SC
I20070307000456 MA Practitioner - Clinical Social Worker 8729992417 Practice locations: S Yarmouth, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2408 Bert Dr
North Myrtle Beach, SC 29582-4322
Phone (774) 207-8023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113770MAMDClinical Social Worker
6264SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Cod Healthcare Inc. Single Specialty 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, 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": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1346306412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 BERT DR",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295824322",
            "telephone_number": "774-207-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 BERT DR",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295824322",
            "telephone_number": "774-207-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEAGAN",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-31",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "6264",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.