Individual provider Active NPI

Gayla W Partin, LISW CP

  • Clinical Social Worker
  • Sumter, SC
National Provider Identifier
1730420050
Registry record updated Dec 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9522 Issued in SC
Practice address
2645A Hardee CV
Sumter, SC 29150-1893
Phone
(803) 720-9465
Fax
(803) 526-7067
NPI assigned
Mar 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2018

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 9522 SC Primary

Addresses

Primary practice location

2645A Hardee CV
Sumter, SC 29150-1893

Mailing address

2645A Hardee CV
Sumter, SC 29150-1893
Phone (803) 720-9465

Other practice location 1

528 Broad St Ste 202
Sumter, SC 29150-3368
Phone (803) 720-9465

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
I20130402000009 SC Practitioner - Clinical Social Worker 6002051638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling SumterGroup PAC ID 9739447301, 4 clinicians

Practice addresses (Care Compare)

528 Broad St
Suite 101
Sumter, SC 29150-3368
Phone (803) 720-9465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9522SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Sumter Clinical CurrentSince Aug 12, 2014 Accepting new patients

Locations

528 Broad St
Ste 202
Sumter, SC 29150
Phone (803) 381-6033

2645A Hardee Cv
Sumter, SC 29150
Phone (803) 720-9465

528 Broad St
Ste 101
Sumter, SC 29150
Phone (803) 720-9151

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544313600000",
    "number": "1730420050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645A HARDEE CV",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501893",
            "telephone_number": "803-720-9465",
            "fax_number": "803-526-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645A HARDEE CV",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501893",
            "telephone_number": "803-720-9465",
            "fax_number": "803-526-7067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "528 Broad St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291503368",
            "country_code": "US",
            "telephone_number": "803-720-9465",
            "fax_number": "803-526-7067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARTIN",
        "first_name": "GAYLA",
        "middle_name": "W",
        "credential": "LISW CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2018-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.