South Carolina Youth Advocate Program

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SOUTH CAROLINA YOUTH ADVOCATE PROGRAM

Practice address

140 Stoneridge Dr
Columbia, SC 29210-8200

Phone

(803) 779-5500

Fax

(803) 779-8444

NPI assigned

Jun 6, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Lex Cole

Title

Ceo

Phone

(803) 779-5500

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

South Carolina Youth Advocate Program3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• South Carolina Youth Advocate Program

  • Case Management Agency
  • Columbia, SC
  • NPI 1265853238
  NPD tax ID
• South Carolina Youth Advocate Program

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1790789501
  NPD tax ID

Locations

Practitioners 3

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

• Katherine Alexander, LMSW

  • Social Worker
  • Columbia, SC
  • NPI 1336532886
  NPD (past)
• Dawn Todd, LISW-CP

  • Clinical Social Worker
  • Columbia, SC
  • NPI 1104626373
  NPD (past)
• Jane Stewart Johnson

  • Clinical Social Worker
  • High Point, NC
  • NPI 1205268554
  NPD (past)

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1477991941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 STONERIDGE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292108200",
            "telephone_number": "803-779-5500",
            "fax_number": "803-779-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 STONERIDGE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292108200",
            "telephone_number": "803-779-5500",
            "fax_number": "803-779-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA YOUTH ADVOCATE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "LEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-779-5500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "998MXH",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP6237",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Carolina Professional Counseling and Art Therapy LLC
• South Carolina Public Charter School District
• South Carolina Urological Consultants, P.a.
• South Carolina Vip Tours LLC (vip medical transportation)
• South Carolina Youth Advocate Program
• South Carolina Youth Advocate Program
• Southeast Center for Family Development & Institute for Family Enrichm
• Southeast Counseling & Consulting, LLC
• Southeast Neuropathy & Treatment Center, LLC
• Southeast Therapy LLC

• Clinical Social Worker in Columbia, SC
• Providers in Columbia, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.