Kathleen C Pursley, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2005 Issued in SC

Practice address

112 John St Ste 101
Easley, SC 29640-1405

Phone

(864) 442-7585

Fax

(864) 859-9645

NPI assigned

May 31, 2017

Last updated

Nov 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Prisma Health University Medical Group

  dba Parkside OB-GYN

  • Gynecology Physician
  • Greer, SC
  • NPI 1003619313
  NPD
• Prisma Health University Medical Group

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295763217
  NPD

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1720516057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 JOHN ST STE 101",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296401405",
            "telephone_number": "864-442-7585",
            "fax_number": "864-859-9645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Honeysuckle Dr",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296726825",
            "country_code": "US",
            "telephone_number": "864-622-9521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURSLEY",
        "first_name": "KATHLEEN",
        "middle_name": "C",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "2005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1399",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna Angela Prokop-Sobczak, OTR
• Thomas Richard Prostko, M.D.
• Sarah Elizabeth Proulx, DMD
• Rachel Click Pruitt, DO
• Publix Super Markets Inc (Publix Pharmacy #0205)
• Kiara Quattlebaum
• Queendom Come Coaching, LLC
• Heather Lynnette Quinn, LPCA
• R&R Therapies
• Matthew Alexander Rae, MD

• Clinical Social Worker in Easley, SC
• Providers in Easley, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.