Active NPI
Nora Sue Roy, LISW CP LCSW
- Social Worker
- York, SC
National Provider Identifier
1407935315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6160
- Practice address
- 212 East Jefferson St
York, SC 29745 - Phone
- (803) 684-6510
- NPI assigned
- Nov 2, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6160 | SC | Primary |
| Social Worker | 104100000X | C004454 | NC |
Addresses
Primary practice location
212 East Jefferson St
York, SC 29745
Mailing address
PO Box 1176
York, SC 29745
Phone (803) 684-6510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QM0738 | Medicaid | SC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C004454 | NC | MD | Social Worker |
| 6160 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407935315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1176",
"city": "YORK",
"state": "SC",
"postal_code": "29745",
"telephone_number": "803-684-6510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 EAST JEFFERSON ST",
"city": "YORK",
"state": "SC",
"postal_code": "29745",
"telephone_number": "803-684-6510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "NORA",
"middle_name": "SUE",
"name_prefix": "Ms.",
"credential": "LISW CP LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "6160",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "C004454",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "QM0738",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.