Active NPI
Michelle Lynn Oden Webb, LISW-CP
- Clinical Social Worker
- Columbia, SC
National Provider Identifier
1386287241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC.9732
- Practice address
- 2601 Millwood Ave
Columbia, SC 29205-1218 - Phone
- (803) 603-5408
- NPI assigned
- Oct 23, 2019
- Last updated
- Oct 23, 2019
- 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 | SC.9732 | SC | Primary |
Addresses
Primary practice location
2601 Millwood Ave
Columbia, SC 29205-1218
Mailing address
370 S Dogwood Ave
Ridgeway, SC 29130-6849
Phone (803) 603-5408
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 |
|---|---|---|---|
| SC.9732 | SC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1386287241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 S DOGWOOD AVE",
"city": "RIDGEWAY",
"state": "SC",
"postal_code": "291306849",
"telephone_number": "803-603-5408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 MILLWOOD AVE",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292051218",
"telephone_number": "803-603-5408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODEN WEBB",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LISW-CP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "SC.9732",
"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 Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.