Carolina Grace Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CAROLINA GRACE COUNSELING

Doing business as

Carolina Grace Boutique Care and Counseling

Practice address

89 Old Trolley Rd Ste 202
Summerville, SC 29485-4951

Phone

(854) 206-5513

NPI assigned

Mar 9, 2022

Last updated

Apr 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danielle J BaezNPI 1366845430

Title

Owner

Phone

(843) 900-3590

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Carolina Grace Boutique Care and Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Danielle June Baez, LISW-CP

  • Clinical Social Worker
  • Summerville, SC
  • NPI 1366845430
  Medicare reassignment Care Compare group NPD Authorized official
• Marla Monk, LCSW

  • Mental Health Counselor
  • Summerville, SC
  • NPI 1508320417
  Medicare reassignment Care Compare group NPD
• Shane Wilburn, PA-C

  • Physician Assistant
  • Summerville, SC
  • NPI 1669178075
  Medicare reassignment Care Compare group
• Karen Martin, LISW-CP, MSW

  • Clinical Social Worker
  • Martinsburg, WV
  • NPI 1669001673

  SC

  Medicare reassignment NPD
• Renee Neves, MSW

  • Clinical Social Worker
  • Mount Pleasant, SC
  • NPI 1639063019
  NPD (past)

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776556800000",
    "number": "1356098370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 OLD TROLLEY RD STE 102",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294854951",
            "telephone_number": "843-900-3590",
            "fax_number": "854-246-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 OLD TROLLEY RD STE 202",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294854951",
            "telephone_number": "854-206-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA GRACE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2026-04-19",
        "certification_date": "2026-04-19",
        "status": "A",
        "authorized_official_last_name": "BAEZ",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-900-3590"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PG1115",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Grace Boutique Care and Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Summerville, SC
• Providers in Summerville, 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 Apr 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.