Individual provider Active NPI

Kristen Mottey, LISW-CP

  • Clinical Social Worker
  • Conway, SC
National Provider Identifier
1568083210
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15724 Issued in SC
Practice address
1608 Main St
Conway, SC 29526-3572
Phone
(843) 248-4700
NPI assigned
May 5, 2020
Last updated
Mar 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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 15724 SC Primary

Addresses

Primary practice location

1608 Main St
Conway, SC 29526-3572

Mailing address

260 Haley Brooke Dr
Conway, SC 29526-6399
Phone (843) 446-4053

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
I20230913003015 SC Practitioner - Clinical Social Worker 8022430404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
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
15724SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Partners of South Carolina, Inc. CurrentSince Jul 31, 2023 Accepting new patients
Health Care Partners of South Carolina, Inc. CurrentSince Jul 31, 2023 Accepting new patients
Health Care Partners of South Carolina, Inc. Past Accepting new patients
Health Care Partners of South Carolina, Inc. Past Accepting new patients

Locations

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

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

Interoperability endpoints

  • Direct secure messaging: kristen.mottey@hcposc.eclinicaldirectplus.com

Organizations & group practices 4

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": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1568083210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 HALEY BROOKE DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295266399",
            "telephone_number": "843-446-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 MAIN ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263572",
            "telephone_number": "843-248-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTTEY",
        "first_name": "KRISTEN",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "15724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.