Individual provider Active NPI

Lisa Amanda Londono

  • Social Worker
  • West Columbia, SC
National Provider Identifier
1609780667
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW.17643 Issued in SC
Practice address
3935 Sunset Blvd Ste C
West Columbia, SC 29169-2403
Phone
(843) 737-2934
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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 SW.17643 SC Primary

Addresses

Primary practice location

3935 Sunset Blvd Ste C
West Columbia, SC 29169-2403

Mailing address

902 Beaufort St
Columbia, SC 29201-1614
Phone (843) 737-2934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1609780667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 BEAUFORT ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011614",
            "telephone_number": "843-737-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 SUNSET BLVD STE C",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291692403",
            "telephone_number": "843-737-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDONO",
        "first_name": "LISA",
        "middle_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "SW.17643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.