Individual provider Active NPI

George William Appenzeller, MSW

  • Clinical Social Worker
  • Columbia, SC
National Provider Identifier
1538425426
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2199 Issued in SC
Practice address
2711 Middleburg Dr
Suite 301
Columbia, SC 29204-2413
Phone
(803) 771-6663
Fax
(803) 771-1595
NPI assigned
Apr 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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 2199 SC Primary
Clinical Social Worker 1041C0700X C006817 NC

Addresses

Primary practice location

2711 Middleburg Dr
Suite 301
Columbia, SC 29204-2413

Mailing address

2711 Middleburg Dr
Suite 301
Columbia, SC 29204-2413
Phone (803) 771-6663

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
C006817NCMDClinical Social Worker
2199SCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1538425426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 MIDDLEBURG DR",
            "address_2": "SUITE 301",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042413",
            "telephone_number": "803-771-6663",
            "fax_number": "803-771-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 MIDDLEBURG DR",
            "address_2": "SUITE 301",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042413",
            "telephone_number": "803-771-6663",
            "fax_number": "803-771-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPENZELLER",
        "first_name": "GEORGE",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "2199",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.