Individual provider Active NPI

Lecole Johnson Sanders, L.I.S.W.

  • Clinical Social Worker
  • Florence, SC
National Provider Identifier
1629309679
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8398 Issued in SC
Practice address
1803 Cherokee Rd
Florence, SC 29501-4184
Phone
(843) 661-6030
NPI assigned
Jan 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8398 SC Primary

Addresses

Primary practice location

1803 Cherokee Rd
Florence, SC 29501-4184

Mailing address

1803 Cherokee Rd
Florence, SC 29501-4184
Phone (843) 661-6030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130108000004 SC Practitioner - Clinical Social Worker 7618120304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanders Family Counseling, LLCGroup PAC ID 6800049594, 4 clinicians

Practice addresses (Care Compare)

2147 Hoffmeyer Rd
Florence, SC 29501-4015
Phone (843) 960-2050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8398SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sanders Family Counseling LLC Clinical CurrentSince Oct 26, 2012 Accepting new patients

Locations

2135 Hoffmeyer Rd
Ste A
Florence, SC 29501
Phone (843) 960-2050

2147 Hoffmeyer Rd
Florence, SC 29501
Phone (843) 661-6030

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1629309679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 CHEROKEE RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014184",
            "telephone_number": "843-661-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 CHEROKEE RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014184",
            "telephone_number": "843-661-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "LECOLE",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "L.I.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "8398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.