Active NPI
Kandice Van Beerschoten
- Clinical Social Worker
- Society Hill, SC
National Provider Identifier
1467569111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7053
- Practice address
- 737 S Main St
Society Hill, SC 29593-8972 - Phone
- (843) 378-4501
- NPI assigned
- Aug 25, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7053 | SC | Primary |
Addresses
Primary practice location
737 S Main St
Society Hill, SC 29593-8972
Mailing address
737 S Main St
Society Hill, SC 29593-8972
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW1103 | 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 |
|---|---|---|---|
| 7053 | SC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1467569111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 S MAIN ST",
"city": "SOCIETY HILL",
"state": "SC",
"postal_code": "295938972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 S MAIN ST",
"city": "SOCIETY HILL",
"state": "SC",
"postal_code": "295938972",
"telephone_number": "843-378-4501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN BEERSCHOTEN",
"first_name": "KANDICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "7053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SW1103",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Society Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.