Pearl Blair-Aiken
Individual provider Active NPI Clinical Social Worker · McCormick, SC
NPI 1437259207 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1437259207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 006591 (SC)
- Practice address
- 209 Peachtree Street
McCormick, SC 29835 - Phone
- (864) 465-2090
- Fax
- (864) 465-3325
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006591 | SC | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 006591 | SC | Yes |
Addresses
Primary practice location
209 Peachtree Street
McCormick, SC 29835
Mailing address
1547 Parkway
Suite 100
Greenwood, SC 29646-4081
Phone (864) 229-7120
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421504 | Medicaid | SC |
Other providers in McCormick, SC
- Ikeiya Marie Blakely
- Carolina Health Centers
- Angela D Christopher
- Bernice Daugherty
- Susan Elizabeth Davis
All providers in McCormick, SC · Clinical Social Worker in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.