Organization Active NPI

Parkside Consulting Inc

  • Clinical Social Worker
  • Greenville, SC
National Provider Identifier
1649492828
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
54 Issued in SC
Legal business name
PARKSIDE CONSULTING INC
Practice address
800 E Washington St
Greenville, SC 29601-3054
Phone
(864) 271-1515
Fax
(864) 271-1016
NPI assigned
May 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Gail Nagel, LISW-CPNPI 1962407056
Title
Owner
Phone
(864) 271-1515

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 54 SC Primary

Addresses

Primary practice location

800 E Washington St
Greenville, SC 29601-3054

Mailing address

800 E Washington St
Greenville, SC 29601-3054
Phone (864) 271-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050215000060 SC Part B Supplier - Clinic/Group Practice 7214989656 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

Locations

800 E Washington St
Ste N
Greenville, SC 29601
Phone (864) 271-1515

Practitioners & affiliated clinicians

Practitioners 1

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649492828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E WASHINGTON ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013054",
            "telephone_number": "864-271-1515",
            "fax_number": "864-271-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E WASHINGTON ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013054",
            "telephone_number": "864-271-1515",
            "fax_number": "864-271-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE CONSULTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAGEL",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-271-1515",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "54",
            "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 Aug 22, 2020; 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.