Simone L Esquibel, LISW-CP, MSW, JD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10123 Issued in SC

Practice address

144 Juniata Loop
Little River, SC 25966

Phone

(843) 315-5112

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Juris Doctor

State licenses

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1396757191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 MAIN ST # 178",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823030",
            "telephone_number": "843-315-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 JUNIATA LOOP",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "25966",
            "telephone_number": "843-315-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESQUIBEL",
        "first_name": "SIMONE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LISW-CP, MSW, JD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2021-11-02",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007946",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-06326",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "10123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1170",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36877573",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lacie E. Edmison, M.D.
• Erin Leigh Edwards, APRN
• Chidinma Pamella Ejikeme, MD
• Elite Pain Management, LLC
• Khaled Fouad Elraie, MD
• Eye Associates of Little River, LLC
• Margaret Angelique Fahy-Rawlinson, LPC, LPC/S, LMT
• Vincenzo Paul Ferranti
• John C Fitzgerald
• Bruce Palmer Freshley Jr., MD

• Clinical Social Worker in Little River, SC
• Providers in Little River, 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 Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.