Individual provider Active NPI

Tricia Payne, LISW-CP

  • Clinical Social Worker
  • Myrtle Beach, SC
National Provider Identifier
1356740351
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11572 Issued in SC
Practice address
4220 Carolina Exchange Dr
Myrtle Beach, SC 29579-4220
Phone
(843) 663-8000
NPI assigned
Aug 15, 2014
Last updated
Oct 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11572 SC Primary
Clinical Social Worker 1041C0700X 8412-123 WI

Addresses

Primary practice location

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579-4220

Mailing address

PO Box 547
Little River, SC 29566-0547
Phone (843) 663-8000

Other names 1

  • Tricia Linde Former 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
I20160608001790 SC Practitioner - Clinical Social Worker 1355631029 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oceanic Counseling Group LLCGroup PAC ID 4486067600, 42 clinicians

Practice addresses (Care Compare)

1304 Professional Dr
Suite E
Myrtle Beach, SC 29577-5712
Phone (843) 894-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8412-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Family Services Inc CurrentSince Jul 28, 2024 Accepting new patients
Little River Medical Center, Inc. Clinical CurrentSince Apr 11, 2016 Accepting new patients
Sandhills Intergrated Care, Inc. CurrentSince May 24, 2023 Accepting new patients
Little River Medical Center Inc Clinical CurrentSince Apr 11, 2016 Accepting new patients
Oceanic Counseling Group LLC CurrentSince Aug 17, 2023 Accepting new patients
Sandhills Intergrated Care, Inc. PastSince May 16, 2022 Accepting new patients

Locations

4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939

4123 Meeting St
Ste A
Loris, SC 29569
Phone (843) 756-3008

11947 Grandhaven Dr
Ste N
Murrells Inlt, SC 29576
Phone (843) 652-4600

1304 Professional Dr
Ste E
Myrtle Beach, SC 29577

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 663-8013

2406 Madison Dr
North Myrtle Beach, SC 29582
Phone (843) 663-0748

1508 Azalea Dr
Ste 802
Surfside Beach, SC 29575

Interoperability endpoints

  • Direct secure messaging: tricia.linde@lrmc.directbygreenway.com

Organizations & group practices 6

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": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1356740351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295660547",
            "telephone_number": "843-663-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 CAROLINA EXCHANGE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794220",
            "telephone_number": "843-663-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "TRICIA",
        "name_prefix": "Ms.",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "11572",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8412-123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "LINDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.