Organization Active NPI

Cambio Academy SC LLC

  • Clinical Social Worker
  • Winnsboro, SC
National Provider Identifier
1538810783
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CAMBIO ACADEMY SC LLC
Practice address
1403 Greenbrier Mossydale Rd
Winnsboro, SC 29180-8932
Phone
(803) 718-0060
NPI assigned
Jan 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Charlotte Diamond
Title
Executive Director
Phone
(803) 718-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1403 Greenbrier Mossydale Rd
Winnsboro, SC 29180-8932

Mailing address

1403 Greenbrier Mossydale Rd
Winnsboro, SC 29180-8932
Phone (803) 718-0060

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address charlotted@cambiosc.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1403 Greenbrier Mossydale Rd
Winnsboro, SC 29180
Phone (310) 547-7501

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1538810783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 GREENBRIER MOSSYDALE RD",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291808932",
            "telephone_number": "803-718-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 GREENBRIER MOSSYDALE RD",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291808932",
            "telephone_number": "803-718-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBIO ACADEMY SC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-718-0060"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charlotted@cambiosc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "na",
            "address_1": "1403 Greenbrier Mossydale Rd",
            "city": "Winnsboro",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291808932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winnsboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.