Individual provider Active NPI

Susan Lang, LISW, CP

  • Clinical Social Worker
  • Myrtle Beach, SC
National Provider Identifier
1548639933
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10910 Issued in SC
Practice address
1273 Professional Dr.
Suite a #104
Myrtle Beach, SC 29577
Phone
(843) 274-8070
NPI assigned
Sep 16, 2015
Last updated
Sep 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10910 SC Primary

Addresses

Primary practice location

1273 Professional Dr.
Suite a #104
Myrtle Beach, SC 29577

Mailing address

1273 Professional Dr
Suite a #104
Myrtle Beach, SC 29577
Phone (843) 274-8070

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151216000775 SC Practitioner - Clinical Social Worker 3072814045 Reassigns benefits to 1 organization
Receives reassigned benefits from 4 practitioners
Practice locations: North Myrtle Beach, SC; Myrtle Beach, SC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Independent Mental Health Solutions LLCGroup PAC ID 9133669062, 6 clinicians

Practice addresses (Care Compare)

1016 2ND Ave N
Suite 205
North Myrtle Beach, SC 29582-3288
Phone (843) 491-3344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10910SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Lang Dba a Place to Start Clinical CurrentSince Oct 1, 2015 Accepting new patients
Independent Mental Health Solutions LLC Clinical CurrentSince Aug 1, 2024 Accepting new patients
Robin H Starr Clinical PastSince Oct 20, 2019 Accepting new patients

Locations

630 Chestnut Rd
Unit 14
Myrtle Beach, SC 29572
Phone (843) 274-8070

1016 2nd Ave N
Ste 205
North Myrtle Beach, SC 29582
Phone (843) 491-3344

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 3

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": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1548639933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 PROFESSIONAL DR",
            "address_2": "SUITE A #104",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29577",
            "telephone_number": "843-274-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 PROFESSIONAL DR.",
            "address_2": "SUITE A #104",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29577",
            "telephone_number": "843-274-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "SUSAN",
        "credential": "LISW, CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "10910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.