Individual provider Active NPI

Sandra Adams Green, MSW

  • Clinical Social Worker
  • Greer, SC
National Provider Identifier
1700064177
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
308 Issued in SC
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 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 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

IdentifierTypeStateIssuer
Q270130281OtherSCMEDICARE PROVIDER NUMBER

Other names 1

  • Sandra H Adams, MSW PA Professional name

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
I20060328000448 SC Practitioner - Clinical Social Worker 4183632458 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
308SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sandra H. Adams MSW, PA Clinical CurrentSince Dec 1, 1995 Accepting new patients
South Carolina Research Group LLC CurrentSince Dec 1, 2013 Accepting new patients
Sherbondy's LLC Psychiatric Services PastSince Apr 2, 2015 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.

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

Sources for this page

Verify at the official NPI Registry.