Department of Juvenile Justice

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4663 Issued in SC

Legal business name

DEPARTMENT OF JUVENILE JUSTICE

Practice address

1725 Shivers Rd
Columbia, SC 29210-5413

Phone

(806) 896-5695

NPI assigned

Nov 28, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Deborah Bennett-York, LISW-CP, BCD

Title

Social Worker

Phone

(803) 788-8911

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• South Carolina State Government Other name

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1619212917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BRADFORD KNOLL CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237142",
            "telephone_number": "803-788-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 SHIVERS RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105413",
            "telephone_number": "806-896-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF JUVENILE JUSTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "BENNETT-YORK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "803-788-8911",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW-CP, BCD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "4663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF EXAMINERS OF CLINICAL SOCIAL WORKERS",
            "identifier": "29832",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED BY THE BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "4663",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Carolina State Government",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dentsville Kidney Center LLC
• Department of Defence
• Department of Health and Environmental Control
• Department of Internal Medicine
• Department of Internal Medicine
• Department of Juvenile Justice
• Department of Mental Health
• Department of Veteran Affairs
• Karen E Depass-Jones, PHARM D
• Dependable Home Care LLC

• Community/Behavioral Health Agency in Columbia, SC
• Providers in Columbia, SC by specialty
• Community/Behavioral Health Agency in South Carolina

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

Verify at the official NPI Registry.