The Lakehouse, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6042 Issued in SC

Legal business name

THE LAKEHOUSE, LLC

Practice address

1545 Wateree Dam Rd
Ridgeway, SC 29130-9162

Phone

(803) 272-0412

Fax

(803) 272-0412

NPI assigned

Jun 22, 2010

Last updated

Jun 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barry D Brown Jr.

Title

Ceo

Phone

(803) 331-0658

Specialties & licenses 1

Addresses

Tax ID family

Brown and Drake LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brown and Drake, LLC

  • Clinical Social Worker
  • Ridgeway, SC
  • NPI 1295044352
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melinda Geremillo Drake, LISW-CP AND AP, LCSW

  • Clinical Social Worker
  • Temecula, CA
  • NPI 1568593168
  NPD (past)

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1386955524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 WATEREE DAM RD",
            "city": "RIDGEWAY",
            "state": "SC",
            "postal_code": "291309162",
            "telephone_number": "803-272-0412",
            "fax_number": "803-272-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 WATEREE DAM RD",
            "city": "RIDGEWAY",
            "state": "SC",
            "postal_code": "291309162",
            "telephone_number": "803-272-0412",
            "fax_number": "803-272-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAKEHOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-331-0658",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "6042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jandrette Atayae Rhoe, MD
• Ridgeway Manor Healthcare Center LLC
• Kimberly D Smith, DDS
• Bonita Street, PTA
• The Autism Behavior Connection LLC
• Caroline Turknett
• Tina Marie Turnipseed
• United Rehab Inc (United Rehab of Tanglewood)

• Clinical Social Worker in Ridgeway, SC
• Providers in Ridgeway, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.