Individual provider Active NPI

Stephanie Durso, LCSW LISW-CP

  • Clinical Social Worker
  • Myrtle Beach, SC
National Provider Identifier
1518310754
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17746 Issued in SC
Practice address
715 Isle Verde Dr
Myrtle Beach, SC 29579-7168
Phone
(631) 599-6177
NPI assigned
Jul 22, 2016
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089903 NY
Clinical Social Worker 1041C0700X 17746 SC Primary

Addresses

Primary practice location

715 Isle Verde Dr
Myrtle Beach, SC 29579-7168

Mailing address

715 Isle Verde Dr
Myrtle Beach, SC 29579-7168
Phone (631) 599-6177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210318001293 NY Practitioner - Clinical Social Worker 7719394741 Reassigns benefits to 2 organizations
I20251231003596 SC Practitioner - Clinical Social Worker 7719394741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1606 B Main St
Conway, SC 29526-3572
Phone (843) 248-4700

1608 Main St
Conway, SC 29526-3572
Phone (843) 248-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089903NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Partners of South Carolina, Inc. CurrentSince Feb 23, 2026 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Dec 4, 2025 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Dec 4, 2025 Accepting new patients
Sunrise Counseling Center,LTD Clinical CurrentSince Mar 1, 2021 Accepting new patients
Family Service League, Inc. CurrentSince Oct 22, 2021 Accepting new patients
Health Care Partners of South Carolina, Inc. CurrentSince Feb 23, 2026 Accepting new patients
Roots North Wings South LLC Clinical PastSince Nov 30, 2025 Accepting new patients

Locations

107 W Main St
East Islip, NY 11730
Phone (631) 666-1615

790 Park Ave
Huntington, NY 11743
Phone (631) 427-3700

7555 Main Rd
Mattituck, NY 11952
Phone (631) 298-8642

1608 Main St
Conway, SC 29526
Phone (843) 488-6032

164 Waccamaw Medical Park Dr
Conway, SC 29526
Phone (843) 347-4888

1708 Oak St
Conway, SC 29526
Phone (843) 488-6363

145 Palmetto Pointe Rd
Marion, SC 29571
Phone (843) 423-2400

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1518310754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 ISLE VERDE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295797168",
            "telephone_number": "631-599-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 ISLE VERDE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295797168",
            "telephone_number": "631-599-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURSO",
        "first_name": "STEPHANIE",
        "credential": "LCSW LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089903",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "17746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.