Organization Active NPI

Caroline Speech & Language Center Inc

  • Speech-Language Pathologist
  • Summerville, SC
National Provider Identifier
1477537207
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
793 Issued in SC
Legal business name
CAROLINE SPEECH & LANGUAGE CENTER INC
Practice address
194 Thames Ave
Summerville, SC 29485-3482
Phone
(843) 832-1795
Fax
(843) 832-9499
NPI assigned
Dec 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sally A Asquith, MS CCC SLPNPI 1740247717
Title
President Owner
Phone
(843) 832-1795

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 793 SC Primary

Addresses

Primary practice location

194 Thames Ave
Summerville, SC 29485-3482

Mailing address

PO Box 51484
Summerville, SC 29485-1484
Phone (843) 832-1795

Other identifiers 1

IdentifierTypeStateIssuer
GP3139MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477537207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51484",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294851484",
            "telephone_number": "843-832-1795",
            "fax_number": "843-832-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 THAMES AVE",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294853482",
            "telephone_number": "843-832-1795",
            "fax_number": "843-832-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE SPEECH & LANGUAGE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASQUITH",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "843-832-1795",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3139",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.