Active NPI
Margaret Koon Lisw-CP LLC
- Clinical Social Worker
- Greenville, SC
National Provider Identifier
1619608122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MARGARET KOON LISW-CP LLC
- Practice address
- 880 S Pleasantburg Dr Ste 4E
Greenville, SC 29607-2453 - Phone
- (864) 479-4053
- Fax
- (864) 516-8994
- NPI assigned
- Jun 23, 2022
- Last updated
- Jun 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Margaret Koon, LISW-CP
- Title
- Clinical Therapist /Owner
- Phone
- (864) 479-4053
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
880 S Pleasantburg Dr Ste 4E
Greenville, SC 29607-2453
Mailing address
PO Box 31514
Greenville, SC 29608-1514
Phone (864) 479-4053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220708002838 | SC | Part B Supplier - Clinic/Group Practice | 5395125249 | Practice locations: Greenville, SC |
National Provider Directory
National Provider DirectoryLocations
880 S Pleasantburg Dr
Ste 4E
Greenville, SC 29607
Phone (864) 249-4495
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Clinical Social Worker
- Greenville, SC
- NPI 1598137341
-
- Social Worker
- Greenville, SC
- NPI 1265801187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655942400000",
"number": "1619608122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31514",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296081514",
"telephone_number": "864-479-4053",
"fax_number": "864-516-8994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 S PLEASANTBURG DR STE 4E",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072453",
"telephone_number": "864-479-4053",
"fax_number": "864-516-8994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARGARET KOON LISW-CP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-23",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A",
"authorized_official_last_name": "KOON",
"authorized_official_first_name": "MARGARET",
"authorized_official_title_or_position": "CLINICAL THERAPIST /OWNER",
"authorized_official_telephone_number": "864-479-4053",
"authorized_official_credential": "LISW-CP"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.