Active NPI
Kate Nelligan, LISW
- Clinical Social Worker
- Newberry, SC
National Provider Identifier
1366625543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6689
- Practice address
- 800 Main St
Newberry, SC 29108-3351 - Phone
- (803) 276-5690
- Fax
- (803) 321-2234
- NPI assigned
- Dec 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6689 | SC | Primary |
Addresses
Primary practice location
800 Main St
Newberry, SC 29108-3351
Mailing address
PO Box 738
Newberry, SC 29108-0738
Phone (803) 276-5690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AD35NE | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160627001978 | SC | Practitioner - Clinical Social Worker | 7911202858 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6689 | NC | MD | Health Service Psychologist |
| 6689 | SC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197331200000",
"number": "1366625543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 738",
"city": "NEWBERRY",
"state": "SC",
"postal_code": "291080738",
"telephone_number": "803-276-5690",
"fax_number": "803-321-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MAIN ST",
"city": "NEWBERRY",
"state": "SC",
"postal_code": "291083351",
"telephone_number": "803-276-5690",
"fax_number": "803-321-2234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELLIGAN",
"first_name": "KATE",
"name_prefix": "Ms.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-11",
"last_updated": "2007-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "6689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AD35NE",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newberry, SC
- Lori Faith Mundy, RN, CDE
- Jill Davis Murry, PT
- Madison Paige Musgrove, ADC-IP,CATP,SAS
- Jo Neel, RN
- Cheneir Neely, D.C.
- New Covenant Enterprise, LLC
- Newberry County Council on Aging
- Newberry County Disabilities and Special Needs Board
- Newberry County Disabilities and Special Needs Board
- Newberry County EMS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.