NPIMap

Organization Active NPI

Empowered Family SC, LLC

  • Clinical Social Worker
  • Mount Pleasant, SC
National Provider Identifier
1639705106
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EMPOWERED FAMILY SC, LLC
Practice address
952 Houston Northcutt Blvd Ste 202
Mount Pleasant, SC 29464-5659
Phone
(843) 371-5748
NPI assigned
Mar 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Ashlin Blum, LISW-CP, BCBANPI 1750702460
Title
Owner
Phone
(843) 637-6418

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

952 Houston Northcutt Blvd Ste 202
Mount Pleasant, SC 29464-5659

Mailing address

952 Houston Northcutt Blvd Ste 202
Mount Pleasant, SC 29464-5659
Phone (843) 637-6418

Other identifiers 1

IdentifierTypeStateIssuer
12419OtherSOCIAL WORK

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ashlin@empoweredfamilysc.com

National Provider Directory

National Provider Directory

Locations

952 Houston Northcutt Blvd
Ste 202
Mt Pleasant, SC 29464
Phone (843) 371-5748

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1639705106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 HOUSTON NORTHCUTT BLVD STE 202",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645659",
            "telephone_number": "843-637-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 HOUSTON NORTHCUTT BLVD STE 202",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645659",
            "telephone_number": "843-371-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED FAMILY SC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "ASHLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-637-6418",
        "authorized_official_credential": "LISW-CP, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK",
            "identifier": "12419",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ashlin@empoweredfamilysc.com",
            "affiliation": "N",
            "address_1": "952 Houston Northcutt Blvd Ste 202",
            "city": "Mount Pleasant",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294645659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.