Active NPI
Anthony J Mesiano Jr., LISW
- Social Worker
- Columbia, SC
National Provider Identifier
1609960384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 5729
- Practice address
- 1415 Blanding St
Suite 4
Columbia, SC 29201-2922 - Phone
- (803) 779-7500
- Fax
- (803) 779-7522
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 5729 | SC | Primary |
Addresses
Primary practice location
1415 Blanding St
Suite 4
Columbia, SC 29201-2922
Mailing address
154 Jereme Bay Rd
West Columbia, SC 29170
Phone (803) 234-2928
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Directions Psychotherapy SVC LLC. | Past | Accepting new patients | |
| Dena McKeown | Past | Accepting new patients | |
| Dermatology and Skin Surgery Inc | Past | Accepting new patients | |
| Sumter Psychiatry Associates PA | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Clinical Social Worker
- Columbia, SC
- NPI 1740419324
-
- Clinical Child & Adolescent Psychologist
- Columbia, SC
- NPI 1770782799
-
- Dermatology Physician
- Sumter, SC
- NPI 1366075343
-
- Psychiatry Physician
- Sumter, SC
- NPI 1679589485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340668800000",
"number": "1609960384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 JEREME BAY RD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "29170",
"telephone_number": "803-234-2928",
"fax_number": "803-905-5653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 BLANDING ST",
"address_2": "SUITE 4",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012922",
"telephone_number": "803-779-7500",
"fax_number": "803-779-7522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESIANO",
"first_name": "ANTHONY",
"middle_name": "J",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2012-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "5729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.