Active NPI
Jamie M Baston, LMSW
- Clinical Social Worker
- Spartanburg, SC
National Provider Identifier
1376681809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8815
- Practice address
- 250 Dewey Ave
Spartanburg, SC 29303-3009 - Phone
- (864) 585-0366
- Fax
- (864) 585-9208
- NPI assigned
- Feb 5, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8815 | SC | |
| Social Worker | 104100000X | 8815 | KY | |
| Clinical Social Worker | 1041C0700X | 8815 | SC | Primary |
Addresses
Primary practice location
250 Dewey Ave
Spartanburg, SC 29303-3009
Mailing address
250 Dewey Ave
Spartanburg, SC 29303-3009
Phone (864) 585-0366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121328 | Medicaid | SC |
Other names 1
- Jamie M Kendall
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8815 | KY | MD | Pediatric Dentist |
| 8815 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593129600000",
"number": "1376681809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 DEWEY AVE",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033009",
"telephone_number": "864-585-0366",
"fax_number": "864-585-9208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 DEWEY AVE",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033009",
"telephone_number": "864-585-0366",
"fax_number": "864-585-9208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASTON",
"first_name": "JAMIE",
"middle_name": "M",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "8815",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "8815",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "8815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121328",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "KENDALL",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.