Active NPI
Neal Jackson Vernon, L.M.S.W
- Social Worker
- Columbia, SC
National Provider Identifier
1730103771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8507
- Practice address
- 11 Richland Medical Park Dr
Columbia, SC 29203-6863 - Phone
- (803) 434-1251
- NPI assigned
- Jul 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 8507 | SC | Primary |
Addresses
Primary practice location
11 Richland Medical Park Dr
Columbia, SC 29203-6863
Mailing address
1116 Olympia Ave Apt B
Columbia, SC 29201-4426
Phone (803) 238-9417
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8507 | SC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730103771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 OLYMPIA AVE APT B",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292014426",
"telephone_number": "803-238-9417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 RICHLAND MEDICAL PARK DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036863",
"telephone_number": "803-434-1251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERNON",
"first_name": "NEAL",
"middle_name": "JACKSON",
"credential": "L.M.S.W",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "8507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.