Individual provider Active NPI

Brandy Dawn Leo-Bacome, LISW CP

  • Social Worker
  • Inman, SC
National Provider Identifier
1659007250
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
14073 Issued in SC
Practice address
318 Clevy Bush Dr
Inman, SC 29349-9489
Phone
(904) 322-2773
NPI assigned
Jul 26, 2022
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 14073 SC Primary
Clinical Social Worker 1041C0700X 18364 SC

Addresses

Primary practice location

318 Clevy Bush Dr
Inman, SC 29349-9489

Mailing address

318 Clevy Bush Dr
Inman, SC 29349-9489
Phone (904) 322-2773

Other names 1

  • Brandy Dawn Leo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Florida State University College of Medicine, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

517 Dutch Creek Rd
Pauline, SC 29374-2621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14073SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Directions, LLC CurrentSince Sep 3, 2025 Accepting new patients
Wright Directions, LLC CurrentSince May 19, 2024 Accepting new patients

Locations

77 Hazzard Creek Vlg
#C
Ridgeland, SC 29936
Phone (843) 645-7700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1659007250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 CLEVY BUSH DR",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293499489",
            "telephone_number": "904-322-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 CLEVY BUSH DR",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293499489",
            "telephone_number": "904-322-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEO-BACOME",
        "first_name": "BRANDY",
        "middle_name": "DAWN",
        "credential": "LISW CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "14073",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "18364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "LEO",
            "middle_name": "DAWN",
            "credential": "LISW CP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Inman, SC

Sources for this page

Verify at the official NPI Registry.