Active NPI
Gareth Nerisa Fenley, LMSW, CPRP
- Social Worker
- Columbia, SC
National Provider Identifier
1568839744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10947
- Practice address
- 3619 Ridgewood Ave
Columbia, SC 29203-5757 - Phone
- (803) 479-1287
- Fax
- (866) 803-3296
- NPI assigned
- Aug 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 10947 | SC | Primary |
| Social Worker | 104100000X | MSW003580 | GA |
Addresses
Primary practice location
3619 Ridgewood Ave
Columbia, SC 29203-5757
Mailing address
3619 Ridgewood Ave
Columbia, SC 29203-5757
Phone (803) 479-1287
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
| License | State | Type | Specialty |
|---|---|---|---|
| MSW003580 | GA | MD | Social Worker |
| 10947 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1568839744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3619 RIDGEWOOD AVE",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292035757",
"telephone_number": "803-479-1287",
"fax_number": "866-803-3296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3619 RIDGEWOOD AVE",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292035757",
"telephone_number": "803-479-1287",
"fax_number": "866-803-3296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENLEY",
"first_name": "GARETH",
"middle_name": "NERISA",
"name_prefix": "Ms.",
"credential": "LMSW, CPRP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "10947",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW003580",
"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 Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.