Active NPI
Amber Victoria Geathers, LISW-CP
- Clinical Social Worker
- Spartanburg, SC
National Provider Identifier
1376008961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10362
- Practice address
- 700 N Pine St
Spartanburg, SC 29303-3769 - Phone
- (843) 670-3412
- NPI assigned
- Feb 7, 2019
- Reactivated
- Jul 15, 2021
- 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 | 10362 | SC | Primary |
Addresses
Primary practice location
700 N Pine St
Spartanburg, SC 29303-3769
Mailing address
700 N Pine St
Spartanburg, SC 29303-3769
Phone (843) 670-3412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10362 | SC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1376008961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 N PINE ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033769",
"telephone_number": "843-670-3412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N PINE ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033769",
"telephone_number": "843-670-3412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEATHERS",
"first_name": "AMBER",
"middle_name": "VICTORIA",
"name_prefix": "Mrs.",
"credential": "LISW-CP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-07",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"deactivation_date": "2020-12-03",
"reactivation_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "10362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.