Individual provider Active NPI

Lauren Thomas King

  • Social Worker
  • Myrtle Beach, SC
National Provider Identifier
1609297084
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
10100 Issued in SC
Practice address
3876 Renee Dr Unit C
Myrtle Beach, SC 29579-4108
Phone
(843) 504-8346
NPI assigned
Jan 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10100 SC Primary

Addresses

Primary practice location

3876 Renee Dr Unit C
Myrtle Beach, SC 29579-4108

Mailing address

3876 Renee Dr Unit C
Myrtle Beach, SC 29579-4108
Phone (843) 504-8346

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
I20190329001225 SC Practitioner - Clinical Social Worker 3173863149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brighter Horizons Counseling LLCGroup PAC ID 7911247986, 3 clinicians

Practice addresses (Care Compare)

3876 Renee Dr
Unit C
Myrtle Beach, SC 29579-4108
Phone (943) 504-8346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Horizons Counseling, LLC CurrentSince Nov 3, 2018 Accepting new patients

Locations

1297 Professional Dr
Ste 104
Myrtle Beach, SC 29577
Phone (843) 504-8346

3876 Renee Dr
Unit C
Myrtle Beach, SC 29579
Phone (843) 504-8346

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1609297084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3876 RENEE DR UNIT C",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794108",
            "telephone_number": "843-504-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3876 RENEE DR UNIT C",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794108",
            "telephone_number": "843-504-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "LAUREN",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "10100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.