Margaret Koon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11117 Issued in SC

Practice address

880 S Pleasantburg Dr Ste 4E
Greenville, SC 29607-2453

Phone

(864) 479-4053

NPI assigned

Oct 20, 2015

Last updated

Feb 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2026 through Apr 1, 2028

Specialty

Clinical Social Worker

Education

University of Southern California Keck School of Medicine, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Margaret Koon Lisw-CP LLC

  • Clinical Social Worker
  • Greenville, SC
  • NPI 1619608122
  NPD Authorized official
• Gateway House, Inc

  • Community/Behavioral Health Agency
  • Greenville, SC
  • NPI 1932422078
  NPD (past)

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1598137341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31514",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296081514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S PLEASANTBURG DR STE 4E",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072453",
            "telephone_number": "864-479-4053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2315 N Main St Ste 221B",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296213888",
            "country_code": "US",
            "telephone_number": "864-479-4053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOON",
        "first_name": "MARGARET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "11117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Michael Kooiman, MD
• Kool Smiles P.C.
• Kool Smiles SC-2, PC (Kool Smiles)
• Kool Smiles, PC
• Jeffrey Koon, PHARM.D.
• Amy A Koons, CRNA
• Chad Ryan Koons, CRNA
• David Wayne Koontz, MD
• Jessica Koontz
• Joel Andrew Koontz, LPC

• Clinical Social Worker in Greenville, SC
• Providers in Greenville, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.