Active NPI
Sandra Adams Green, MSW
- Clinical Social Worker
- Greer, SC
National Provider Identifier
1700064177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 308
- Practice address
- 68 Parkway Commons Way
Greer, SC 29650-5213 - Phone
- (864) 322-7177
- Fax
- (864) 249-1409
- NPI assigned
- Feb 7, 2008
- Last updated
- Mar 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 308 | SC | Primary |
Addresses
Primary practice location
68 Parkway Commons Way
Greer, SC 29650-5213
Mailing address
68 Parkway Commons Way
Greer, SC 29650-5213
Phone (864) 322-7177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q270130281 | Other | SC | MEDICARE PROVIDER NUMBER |
Other names 1
- Sandra H Adams, MSW PA
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
68 Pkwy Commons Way
Greer, SC 29650-5213
Phone (864) 322-7177
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandra H. Adams MSW, PA | Clinical | Current | Accepting new patients |
| South Carolina Research Group LLC | Current | Accepting new patients | |
| Sherbondy's LLC Psychiatric Services | Past | Accepting new patients |
Locations
58 Parkway Commons Way
Greer, SC 29650
Phone (864) 322-7177
68 Parkway Commons Way
Greer, SC 29650
Phone (864) 322-7177
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Greer, SC
- NPI 1053450130
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Greer, SC
- NPI 1104101054
-
- Psychiatry Physician
- Greenville, SC
- NPI 1255353256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552521600000",
"number": "1700064177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 PARKWAY COMMONS WAY",
"city": "GREER",
"state": "SC",
"postal_code": "296505213",
"telephone_number": "864-322-7177",
"fax_number": "864-249-1409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 PARKWAY COMMONS WAY",
"city": "GREER",
"state": "SC",
"postal_code": "296505213",
"telephone_number": "864-322-7177",
"fax_number": "864-249-1409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "SANDRA",
"middle_name": "ADAMS",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-07",
"last_updated": "2019-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "308",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "Q270130281",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "ADAMS, MSW PA",
"middle_name": "H",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Greer, SC
- Carla Addison Graham, M.S. CCC-SLP
- Emily Grant
- Ronald Lloyd Gray, DMD
- Greater Greer Pain Relief Center, LLC
- Natalie Green
- James Monroe Greene Jr., RPH
- Greenville Counseling Associates, LLC
- Greenville Health Corporation (PH Specialty Pharmacy)
- Greenville Health Corporation (Upstate Pharmacy Greer)
- Greenville Health Corporation (Prisma Health Specialty Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.