NPIMap

Organization Active NPI

Thornwell

  • Community/Behavioral Health Agency
  • Clinton, SC
National Provider Identifier
1609137967
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THORNWELL
Practice address
302 S Broad St
Clinton, SC 29325-2507
Phone
(864) 938-2100
Fax
(864) 938-2122
NPI assigned
Jun 4, 2012
Last updated
Sep 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Morgan EdnieNPI 1760185326
Title
Vice President of Programs
Phone
(864) 923-5998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

302 S Broad St
Clinton, SC 29325-2507

Mailing address

302 S Broad St
Clinton, SC 29325-2507
Phone (864) 938-2100

Other identifiers 1

IdentifierTypeStateIssuer
199BHSMedicaidSC

National Provider Directory

National Provider Directory

Locations

709 W Linebaugh Ave
Tampa, FL 33612

4882 Lavista Rd
Tucker, GA 30084
Phone (770) 938-2833

302 S Broad St
Clinton, SC 29325
Phone (864) 923-5998

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1609137967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S BROAD ST",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293252507",
            "telephone_number": "864-938-2100",
            "fax_number": "864-938-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S BROAD ST",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293252507",
            "telephone_number": "864-938-2100",
            "fax_number": "864-938-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORNWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "EDNIE",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PROGRAMS",
        "authorized_official_telephone_number": "864-923-5998"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199BHS",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.