Individual provider Active NPI

Susan E Knapp, LISW-CP

  • Clinical Social Worker
  • Bluffton, SC
National Provider Identifier
1669032157
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12963 Issued in SC
Practice address
23 Plantation Park Dr Ste 202
Bluffton, SC 29910-6072
Phone
(843) 290-6828
Fax
(843) 757-3993
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 12963 SC Primary

Addresses

Primary practice location

23 Plantation Park Dr Ste 202
Bluffton, SC 29910-6072

Mailing address

380 Marshland Rd Apt H15
Hilton Head Island, SC 29926-2122
Phone (913) 221-4543

Other identifiers 1

IdentifierTypeStateIssuer
12963OtherSCSOCIAL WORK LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.scpsychologist.com

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
I20190806000159 SC Practitioner - Clinical Social Worker 9335476951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

23 Plantation Park Dr
Suite 202
Bluffton, SC 29910-6072
Phone (916) 735-6618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Counseling Associates of the Lowcountry, LLC Single Specialty CurrentSince Jun 30, 2019 Accepting new patients
Psychological and Counseling Center Single Specialty PastSince Jun 30, 2019 Accepting new patients

Locations

102 Buckwalter Pkwy
Ste 3UV
Bluffton, SC 29910
Phone (843) 290-6828

102 Buckwalter Pkwy
Ste 3U
Bluffton, SC 29910
Phone (843) 290-6828

23 Plantation Park Dr
Ste 202
Bluffton, SC 29910
Phone (843) 290-6828

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1669032157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 MARSHLAND RD APT H15",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262122",
            "telephone_number": "913-221-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PLANTATION PARK DR STE 202",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106072",
            "telephone_number": "843-290-6828",
            "fax_number": "843-757-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "12963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "12963",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.scpsychologist.com",
            "affiliation": "N",
            "address_1": "23 Plantation Park Dr Ste 202",
            "city": "Bluffton",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299106072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.