Active NPI
Michelle Marie Lathon, LISW-CP
- Clinical Social Worker
- Mullins, SC
National Provider Identifier
1447610456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16849
- Practice address
- 3402 Bluff Rd
Mullins, SC 29574-6020 - Phone
- (667) 352-5577
- NPI assigned
- Mar 3, 2016
- Last updated
- Jun 25, 2026
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16849 | MD | Primary |
| Clinical Social Worker | 1041C0700X | 9750 | SC |
Addresses
Primary practice location
3402 Bluff Rd
Mullins, SC 29574-6020
Mailing address
3402 Bluff Rd
Mullins, SC 29574-6020
Phone (667) 352-5577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 405127 | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9750 | SC | MD | Nutritionist |
| 16849 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Past | Accepting new patients | |
| South Carolina Dept of Mental Health Accounting Office | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Midlands Crisis Stabilization Center
- Community/Behavioral Health Agency
- Columbia, SC
- NPI 1083421994
-
dba Tricounty Community Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bennetsville, SC
- NPI 1609979640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1447610456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3402 BLUFF RD",
"city": "MULLINS",
"state": "SC",
"postal_code": "295746020",
"telephone_number": "667-352-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 BLUFF RD",
"city": "MULLINS",
"state": "SC",
"postal_code": "295746020",
"telephone_number": "667-352-5577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATHON",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"credential": "LISW-CP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-03",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "16849",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "9750",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405127",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mullins, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.