Individual provider Active NPI

Nancy K. Brown, MSW, LISW-CP, CASAC

  • Clinical Social Worker
  • Columbia, SC
National Provider Identifier
1417591926
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7251 Issued in SC
Practice address
810 Dutch Square Blvd Ste 207
Columbia, SC 29210-7318
Phone
(803) 467-3673
NPI assigned
Oct 29, 2019
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7251 SC Primary

Addresses

Primary practice location

810 Dutch Square Blvd Ste 207
Columbia, SC 29210-7318

Mailing address

6655 Formosa Dr
Columbia, SC 29206-1150
Phone (803) 738-3675

Other practice location 1

6655 Formosa Dr
Columbia, SC 29206-1150
Phone (803) 738-3675

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
I20200813003534 SC Practitioner - Clinical Social Worker 9739505207 Practice locations: Columbia, SC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

810 Dutch Square Blvd
Suite 207
Columbia, SC 29210-7318
Phone (803) 586-7708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1417591926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 FORMOSA DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292061150",
            "telephone_number": "803-738-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 DUTCH SQUARE BLVD STE 207",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292107318",
            "telephone_number": "803-467-3673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6655 Formosa Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292061150",
            "country_code": "US",
            "telephone_number": "803-738-3675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NANCY",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MSW, LISW-CP, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "7251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.