Individual provider Active NPI

Cheryl Watson

  • Clinical Social Worker
  • Timmonsville, SC
National Provider Identifier
1659488393
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14663 Issued in SC
Practice address
210 E Market St
Timmonsville, SC 29161-1812
Phone
(843) 346-3730
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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 6174 SC
Clinical Social Worker 1041C0700X 14663 SC Primary

Addresses

Primary practice location

210 E Market St
Timmonsville, SC 29161-1812

Mailing address

360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414

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
I20051109000461 SC Practitioner - Clinical Social Worker 2466470331 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tandem Health SCGroup PAC ID 3870575855, shared by 10 NPIs, 32 clinicians
Health Care Partners of South Carolina, Inc.Group PAC ID 3577668763, 21 clinicians

Practice addresses (Care Compare)

1278 N Lafayette Dr
Sumter, SC 29150-2964
Phone (803) 774-4500

145 Palmetto Pointe Rd
Marion, SC 29571-6721
Phone (843) 423-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6174SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Partners of South Carolina, Inc. Current Accepting new patients
Health Care Partners of South Carolina, Inc. CurrentSince Jan 21, 2025 Accepting new patients
Health Care Partners of South Carolina, Inc. CurrentSince Jan 21, 2025 Accepting new patients
Caresouth Carolina, Inc Past Accepting new patients

Locations

1608 Main St
Conway, SC 29526
Phone (843) 488-6032

145 Palmetto Pointe Rd
Marion, SC 29571
Phone (843) 423-2400

Interoperability endpoints

  • Direct secure messaging: cheryl.watson@hcposc.eclinicaldirectplus.com

Organizations & group practices 6

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1659488393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012808",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E MARKET ST",
            "city": "TIMMONSVILLE",
            "state": "SC",
            "postal_code": "291611812",
            "telephone_number": "843-346-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "CHERYL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "6174",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "14663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timmonsville, SC

Sources for this page

Verify at the official NPI Registry.