Individual provider Active NPI

Gina Decker Votion, LISWCP

  • Clinical Social Worker
  • Lexington, SC
National Provider Identifier
1366455586
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005024 LISW-CP Issued in SC
Practice address
518 E Main St
Suite #2
Lexington, SC 29072-9340
Phone
(803) 957-4017
Fax
(803) 957-2223
NPI assigned
Aug 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 005024 LISW-CP SC Primary

Addresses

Primary practice location

518 E Main St
Suite #2
Lexington, SC 29072-9340

Mailing address

PO Box 236
Lexington, SC 29071-9340
Phone (803) 957-4017

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
I20150327000414 SC Practitioner - Clinical Social Worker 7113244393 Practice locations: Lexington, SC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

143 Belle Chase Dr
Lexington, SC 29072-7944
Phone (803) 957-4017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005024 LISW-CPSCMDClinical Social Worker
5024SCMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366455586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290719340",
            "telephone_number": "803-957-4017",
            "fax_number": "803-957-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 E MAIN ST",
            "address_2": "SUITE #2",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729340",
            "telephone_number": "803-957-4017",
            "fax_number": "803-957-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOTION",
        "first_name": "GINA",
        "middle_name": "DECKER",
        "name_prefix": "Ms.",
        "credential": "LISWCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "005024  LISW-CP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

Verify at the official NPI Registry.