Individual provider Active NPI

Rebecca Mulford, LISW-CP

  • Clinical Social Worker
  • Bluffton, SC
National Provider Identifier
1386247633
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10252 Issued in SC
Practice address
10 Pinckney Colony Rd Ste 300
Bluffton, SC 29909-4148
Phone
(843) 683-4330
NPI assigned
Nov 19, 2020
Last updated
Nov 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 10252 SC Primary

Addresses

Primary practice location

10 Pinckney Colony Rd Ste 300
Bluffton, SC 29909-4148

Mailing address

10 Pinckney Colony Rd Ste 300
Bluffton, SC 29909-4148
Phone (843) 683-4330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210413000062 SC Practitioner - Clinical Social Worker 4880002815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 Pinckney Colony Rd
Suite 306
Bluffton, SC 29909-4126
Phone (843) 683-4330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10252SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Solace Health Partners, LLC Single Specialty CurrentSince Dec 9, 2020 Accepting new patients

Locations

10 Pinckney Colony Rd
Ste 306
Bluffton, SC 29909
Phone (843) 683-4330

15 Hospital Center Cmns
Ste 100F
Hilton Head Island, SC 29926
Phone (843) 683-4330

10 Pinckney Colony Rd
Ste 300
Okatie, SC 29909
Phone (843) 298-4637

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1386247633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PINCKNEY COLONY RD STE 300",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299094148",
            "telephone_number": "843-683-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PINCKNEY COLONY RD STE 300",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299094148",
            "telephone_number": "843-683-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULFORD",
        "first_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "10252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.