Renea Christine Mable, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10640 Issued in SC

Practice address

719 S Lake Dr
Lexington, SC 29072-3432

Phone

(803) 609-7792

NPI assigned

May 17, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Renea Christine David Former name

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Blue Heron Wellness LLC

  • Clinical Social Worker
  • Lexington, SC
  • NPI 1679063424
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1629568472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 FIREBRIDGE DR",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290367639",
            "telephone_number": "803-429-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 S LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723432",
            "telephone_number": "803-609-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABLE",
        "first_name": "RENEA",
        "middle_name": "CHRISTINE",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "10640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEA",
            "last_name": "DAVID",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Noel Lyon, ATC, SCAT, ROT
• M Corp (Medicine Mart Pharmacy of Lexington SC)
• M Holdings LLC (My Pharmacy)
• M Holdings LLC (Long Term Care)
• Janet Mabe, R.PH.
• Bennett Macarthur, PHARMD
• Robin R Machajewski, NP-C
• Anne B Machen, OT
• Kevin Macintyre, ATC
• Kanesha Mack-Nathaniel, MSW

• Clinical Social Worker in Lexington, SC
• Providers in Lexington, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.