Individual provider Active NPI

Bruce Kendrick Lindsey, LISW

  • Clinical Social Worker
  • Myrtle Beach, SC
National Provider Identifier
1700073129
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18275 Issued in SC
Practice address
401 79TH Ave N
Myrtle Beach, SC 29572-4310
Phone
(843) 948-1191
Fax
(843) 948-1192
NPI assigned
Sep 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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 18275 SC Primary

Addresses

Primary practice location

401 79TH Ave N
Myrtle Beach, SC 29572-4310

Mailing address

764 Walnut Knoll LN
Cordova, TN 38018-3113
Phone (901) 756-5565

Other identifiers 1

IdentifierTypeStateIssuer
48524557MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151230000704 NM Practitioner - Clinical Social Worker 8325340847 Reassigns benefits to 1 organization
I20260218000134 SC Practitioner - Clinical Social Worker 8325340847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oceanic Counseling Group LLCGroup PAC ID 4486067600, 42 clinicians

Practice addresses (Care Compare)

215 Ronnie CT
Suite C
Myrtle Beach, SC 29579-4204
Phone (843) 894-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-07072NMMDClinical Social Worker
18275SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanic Counseling Group LLC CurrentSince Feb 9, 2026 Accepting new patients
Southwest Care Center CurrentSince Aug 8, 2022 Accepting new patients
Southwest Care Center CurrentSince Aug 8, 2022 Accepting new patients

Locations

4710 Jefferson St NE
Ste A
Albuquerque, NM 87109
Phone (505) 780-4044

649 Harkle Rd
Ste E
Santa Fe, NM 87505
Phone (505) 955-9454

11947 Grandhaven Dr
Ste N
Murrells Inlt, SC 29576
Phone (843) 652-4600

215 Ronnie Ct
Ste C
Myrtle Beach, SC 29579
Phone (843) 712-1979

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1700073129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 WALNUT KNOLL LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183113",
            "telephone_number": "901-756-5565",
            "fax_number": "901-756-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 79TH AVE N",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724310",
            "telephone_number": "843-948-1191",
            "fax_number": "843-948-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "BRUCE",
        "middle_name": "KENDRICK",
        "name_prefix": "Mr.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-30",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "18275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48524557",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.