Active NPI
Tricia Payne, LISW-CP
- Clinical Social Worker
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11572
- Practice address
- 4220 Carolina Exchange Dr
Myrtle Beach, SC 29579-4220 - Phone
- (843) 663-8000
- NPI assigned
- Aug 15, 2014
- Last updated
- Oct 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8412-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Family Services Inc | Current | Accepting new patients | |
| Little River Medical Center, Inc. | Clinical | Current | Accepting new patients |
| Sandhills Intergrated Care, Inc. | Current | Accepting new patients | |
| Little River Medical Center Inc | Clinical | Current | Accepting new patients |
| Oceanic Counseling Group LLC | Current | Accepting new patients | |
| Sandhills Intergrated Care, Inc. | Past | 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
- 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.
-
- Mental Health Counselor
- Myrtle Beach, SC
- NPI 1922631522
-
- Federally Qualified Health Center (FQHC)
- Little River, SC
- NPI 1629021076
Clinical
-
- Community/Behavioral Health Agency
- Myrtle Beach, SC
- NPI 1548757123
-
- Psychiatry Physician
- North Myrtle Beach, SC
- NPI 1003549759
-
- Family Medicine Physician
- Myrtle Beach, SC
- NPI 1144472119
Clinical
-
- Community/Behavioral Health Agency
- Myrtle Beach, SC
- NPI 1174013684
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.