Individual provider Active NPI

Cara Bibeault Mazurek, LISW-CP

  • Clinical Social Worker
  • Mount Pleasant, SC
National Provider Identifier
1578065561
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14324 Issued in SC
Practice address
222 W Coleman Blvd Ste 105
Mount Pleasant, SC 29464-3591
Phone
(803) 542-9159
NPI assigned
Mar 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 14324 SC Primary

Addresses

Primary practice location

222 W Coleman Blvd Ste 105
Mount Pleasant, SC 29464-3591

Mailing address

186 Seven Farms Drive
Suite F Box 288
Daniel Island, SC 29492
Phone (803) 542-9159

Other practice location 1

130 River Landing Dr Unit 12202
Daniel Island, SC 29492-7430
Phone (803) 542-9159

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

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1578065561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 SEVEN FARMS DRIVE",
            "address_2": "SUITE F BOX 288",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "29492",
            "telephone_number": "803-542-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W COLEMAN BLVD STE 105",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643591",
            "telephone_number": "803-542-9159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 River Landing Dr Unit 12202",
            "address_purpose": "LOCATION",
            "city": "Daniel Island",
            "state": "SC",
            "postal_code": "294927430",
            "country_code": "US",
            "telephone_number": "803-542-9159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZUREK",
        "first_name": "CARA",
        "middle_name": "BIBEAULT",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "14324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.