Active NPI
MBS Health & Wellness Solutions, LLC
- Clinical Social Worker
- Rock Hill, SC
National Provider Identifier
1669925681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CP-11094
- Legal business name
- MBS HEALTH & WELLNESS SOLUTIONS, LLC
- Practice address
- 331 E Main St
Suite 204
Rock Hill, SC 29730-5383 - Phone
- (980) 474-7757
- NPI assigned
- Jul 26, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shukairo Townsend, LCSW, LCAS
- Title
- President
- Phone
- (980) 474-7757
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | L0215 | NC | |
| Clinical Social Worker | 1041C0700X | CP-11094 | SC | Primary |
| Clinical Social Worker | 1041C0700X | C008389 | NC |
Addresses
Primary practice location
331 E Main St
Suite 204
Rock Hill, SC 29730-5383
Mailing address
331 E Main St
Suite 204
Rock Hill, SC 29730-5383
Phone (980) 474-7757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659666444 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
331 E Main St
Ste 204
Rock Hill, SC 29730
Phone (980) 474-7757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469491200000",
"number": "1669925681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 E MAIN ST",
"address_2": "SUITE 204",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297305383",
"telephone_number": "980-474-7757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 E MAIN ST",
"address_2": "SUITE 204",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297305383",
"telephone_number": "980-474-7757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MBS HEALTH & WELLNESS SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-26",
"last_updated": "2016-07-26",
"status": "A",
"authorized_official_last_name": "TOWNSEND",
"authorized_official_first_name": "SHUKAIRO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "980-474-7757",
"authorized_official_credential": "LCSW, LCAS"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "L0215",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "CP-11094",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C008389",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1659666444",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.