Active NPI
Virginia Warren, ED.S, LPES
- School Psychologist
- Columbia, SC
National Provider Identifier
1376243410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 4773
- Practice address
- 1220 Pickens St
Columbia, SC 29201-3428 - Phone
- (803) 250-5239
- NPI assigned
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 4773 | SC | Primary |
Addresses
Primary practice location
1220 Pickens St
Columbia, SC 29201-3428
Mailing address
4847 Forest Ridge LN
Columbia, SC 29206-4608
Phone (803) 397-8680
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 |
|---|---|---|---|
| 4773 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1376243410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4847 FOREST RIDGE LN",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292064608",
"telephone_number": "803-397-8680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 PICKENS ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013428",
"telephone_number": "803-250-5239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "VIRGINIA",
"credential": "ED.S, LPES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-07",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "SC",
"license": "4773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.