Individual provider Active NPI

Carrie Dunn, LMSW

  • Social Worker
  • Myrtle Beach, SC
National Provider Identifier
1710420872
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11141 Issued in SC
Practice address
1500 Hwy 17 Bus, North
Suite 210
Myrtle Beach, SC 29587-4400
Phone
(843) 839-5433
Fax
(843) 839-4555
NPI assigned
Nov 22, 2016
Last updated
Nov 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11141 SC Primary

Addresses

Primary practice location

1500 Hwy 17 Bus, North
Suite 210
Myrtle Beach, SC 29587-4400

Mailing address

PO Box 14400
Myrtle Beach, SC 29587-4400
Phone (843) 839-5433

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

LicenseStateTypeSpecialty
11141SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bethany Christian Services of. SC. Social Worker PastSince Dec 21, 2021 Accepting new patients

Organizations & group practices 1

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": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1710420872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14400",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295874400",
            "telephone_number": "843-839-5433",
            "fax_number": "843-839-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HWY 17 BUS, NORTH",
            "address_2": "SUITE 210",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295874400",
            "telephone_number": "843-839-5433",
            "fax_number": "843-839-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "CARRIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "11141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.