Organization Active NPI

Margaret Koon Lisw-CP LLC

  • Clinical Social Worker
  • Greenville, SC
National Provider Identifier
1619608122
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Margaret Koon, LISW-CPNPI 1598137341
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20220708002838 SC Part B Supplier - Clinic/Group Practice 5395125249 Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.