Connie Annette Haudricourt, LISW-CP

Primary specialty

Social WorkerTaxonomy code 104100000X

License

11266 Issued in SC

Practice address

6439 Garners Ferry Rd
Columbia, SC 29209-1638

Phone

(803) 776-4000

NPI assigned

Sep 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1699144030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 HOLLY RIDGE LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299424",
            "telephone_number": "864-569-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6439 GARNERS FERRY RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091638",
            "telephone_number": "803-776-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Saint Francis Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296013955",
            "country_code": "US",
            "telephone_number": "864-293-2158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUDRICOURT",
        "first_name": "CONNIE",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "11266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Keith Hattaway, D.O.
• Kalista Renee Hatton
• Tanya C Hatton
• Alaina Hauber
• Deborah Zina Hauck, LPC
• Madison Marie Hauge
• Amy Haughwout
• Hannah Elizabeth Havens
• Joan Ellen Havens, M.A., LPC, PH.D.
• Anne Colclough Hawes, MD

• Social Worker in Columbia, SC
• Providers in Columbia, SC by specialty
• Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.