Active NPI
Mary Candace Bryant, LMSW
- Social Worker
- Aiken, SC
National Provider Identifier
1679101729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW009267
- Practice address
- 1105 Gregg Hwy NW
Aiken, SC 29801-6341 - Phone
- (803) 649-1900
- NPI assigned
- Apr 1, 2020
- Last updated
- Aug 31, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 13525 | SC | |
| Social Worker | 104100000X | MSW009267 | SC | Primary |
Addresses
Primary practice location
1105 Gregg Hwy NW
Aiken, SC 29801-6341
Mailing address
524 Arrington Ave
North Augusta, SC 29841-3681
Phone (470) 390-4282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AD01AK | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13525 | SC | MD | Social Worker |
| MSW009267 | SC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1679101729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 ARRINGTON AVE",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298413681",
"telephone_number": "470-390-4282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 GREGG HWY NW",
"city": "AIKEN",
"state": "SC",
"postal_code": "298016341",
"telephone_number": "803-649-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "MARY",
"middle_name": "CANDACE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-01",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "13525",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "MSW009267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AD01AK",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aiken, SC
- Bryan and Sang Medical Associates
- Bryan and Sang Medical Associates, Inc (Gasnel E. Bryan, MD)
- Tiffany Renee' Bryan, DO
- Christopher Gary Bryant
- Leanna Byrnes Bryant
- Robert Alan Bryant, LPC
- Juanethea Bryantlord, NBC-HWC
- Alison Walker Buchanan
- Cullen Patrick Buchanan, PHARMD
- Kendall Liner Buchanan, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.