Individual provider Active NPI

Leah Jessica Mirth, LMSW

  • Social Worker
  • North Myrtle Beach, SC
National Provider Identifier
1508604802
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
17125 Issued in SC
Practice address
1000 2ND Ave S Ste 341
North Myrtle Beach, SC 29582-8119
Phone
(843) 890-4100
NPI assigned
Jul 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 17125 SC Primary

Addresses

Primary practice location

1000 2ND Ave S Ste 341
North Myrtle Beach, SC 29582-8119

Mailing address

1000 2ND Ave S Ste 341
North Myrtle Beach, SC 29582-8119
Phone (843) 890-4100

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

LicenseStateTypeSpecialty
17125SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Directions, LLC PastSince Jul 21, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1508604802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 2ND AVE S STE 341",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295828119",
            "telephone_number": "843-890-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 2ND AVE S STE 341",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295828119",
            "telephone_number": "843-890-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRTH",
        "first_name": "LEAH",
        "middle_name": "JESSICA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "17125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.