Michelle G Stevens, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4618 Issued in SC

Practice address

228 Walnut LN
Columbia, SC 29212-8610

Phone

(803) 446-2316

NPI assigned

Jan 12, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bright Side Counseling LLC

  dba Bright Side Counseling

  • Professional Counselor
  • West Columbia, SC
  • NPI 1427595941

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1518262187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 WALNUT LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128610",
            "telephone_number": "803-446-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 WALNUT LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128610",
            "telephone_number": "803-446-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MICHELLE",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "4618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Stevens-Dozier
• Jessica Stevens-Eddy, MA, LPCA, CDCA
• Christopher Sean Stevens
• Marc J Stevens
• Michelle Stevens
• Sharon Hudson Stevens
• Latonya Teresa Stevenson-Wright, RDH
• Adrian M Stevenson, NP
• Cheryl Elaine Stevenson, LPC
• Kima Stevenson, RBT

• 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 Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.