Active NPI
Bessie B Abraham, MSW LISW AP
- Social Worker
- Orangeburg, SC
National Provider Identifier
1376577148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 309
- Practice address
- 3310 Magnolia St
Orangeburg, SC 29115-1466 - Phone
- (803) 531-6900
- NPI assigned
- Jul 10, 2006
- Last updated
- Sep 26, 2016
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 309 | SC | Primary |
Addresses
Primary practice location
3310 Magnolia St
Orangeburg, SC 29115-1466
Mailing address
3310 Magnolia St
Orangeburg, SC 29115-1466
Phone (803) 531-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 413093 | Medicaid | SC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309 | SC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1376577148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3310 MAGNOLIA ST",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291151466",
"telephone_number": "803-531-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 MAGNOLIA ST",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291151466",
"telephone_number": "803-531-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAM",
"first_name": "BESSIE",
"middle_name": "B",
"credential": "MSW LISW AP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "413093",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orangeburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.