Organization Active NPI

Charleston Speech & Language Services, LLC

  • Speech-Language Pathologist
  • Goose Creek, SC
National Provider Identifier
1619220225
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3883 Issued in SC
Legal business name
CHARLESTON SPEECH & LANGUAGE SERVICES, LLC
Practice address
115 Old Jackson Road
Goose Creek, SC 29445-8800
Phone
(843) 509-7897
Fax
(843) 797-3117
NPI assigned
Oct 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Mrs. Lucretia EspirituNPI 1003042615
Title
Owner
Phone
(843) 509-7897

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 3883 SC Primary

Addresses

Primary practice location

115 Old Jackson Road
Goose Creek, SC 29445-8800

Mailing address

115 Old Jackson Rd
Goose Creek, SC 29445-8800
Phone (843) 509-7897

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1619220225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 OLD JACKSON RD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294458800",
            "telephone_number": "843-509-7897",
            "fax_number": "843-797-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 OLD JACKSON ROAD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294458800",
            "telephone_number": "843-509-7897",
            "fax_number": "843-797-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON SPEECH & LANGUAGE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "ESPIRITU",
        "authorized_official_first_name": "LUCRETIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-509-7897",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.