Renda Kay Faulkenberry, M.S.W., L.I.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6922 Issued in SC

Practice address

2025 Ebenezer Rd
Suite J-2
Rock Hill, SC 29732-1062

Phone

(803) 366-2525

Fax

(803) 366-2527

NPI assigned

Nov 13, 2006

Last updated

Dec 10, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC, VA2 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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Post Acute Care PLLCGroup PAC ID 0143547117, 125 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Midwest Post Acute Care PLLC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1083012074

  VA

  Medicare reassignment Care Compare group
• The Mediation and Family Services Center, Inc.

  • Community/Behavioral Health Agency
  • Rock Hill, SC
  • NPI 1376724070
  Authorized official Same address or phone
• The Saluda Counseling Services Center Inc.

  dba Saluda Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rock Hill, SC
  • NPI 1902809924

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1346311339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 EBENEZER RD.",
            "address_2": "SUITE J-2",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-366-2525",
            "fax_number": "803-366-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 EBENEZER RD",
            "address_2": "SUITE J-2",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321062",
            "telephone_number": "803-366-2525",
            "fax_number": "803-366-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKENBERRY",
        "first_name": "RENDA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "M.S.W., L.I.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "6922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00192033",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arman K Farr, MD
• Larry G Farris
• John E Fassler, MD
• Hannah Faile Faulkenberry, FNP
• Kevin Lemuel Faulkenberry, LMSW
• Amanda Nicole Faulkner
• Seth Faulkner, MS,AT
• FC Midlands Rockhill, LLC
• FCRX SC Inc (Family Care Specialty Pharmacy)
• Kaleigh Featherstone, DO

• Clinical Social Worker in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.