Active NPI
Jeremy R McCoy, LMSW
- Social Worker
- Aiken, SC
National Provider Identifier
1346931144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12443
- Practice address
- 105 Summerwood Way
Aiken, SC 29803-7713 - Phone
- (803) 753-7175
- NPI assigned
- May 15, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 12443 | SC | Primary |
Addresses
Primary practice location
105 Summerwood Way
Aiken, SC 29803-7713
Mailing address
740 Maple St
Aiken, SC 29803-5442
Phone (803) 646-1723
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12443 | SC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1346931144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 MAPLE ST",
"city": "AIKEN",
"state": "SC",
"postal_code": "298035442",
"telephone_number": "803-646-1723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 SUMMERWOOD WAY",
"city": "AIKEN",
"state": "SC",
"postal_code": "298037713",
"telephone_number": "803-753-7175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "JEREMY",
"middle_name": "R",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-15",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "12443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.