Active NPI
Laurie Fallaw, MA, CACII
- Addiction (Substance Use Disorder) Counselor
- Greenwood, SC
National Provider Identifier
1730540071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1508056
- Practice address
- 1612 Rivers St
Greenwood, SC 29649-8513 - Phone
- (864) 227-1001
- Fax
- (864) 227-3619
- NPI assigned
- Mar 15, 2016
- Last updated
- Mar 15, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1508056 | SC | Primary |
Addresses
Primary practice location
1612 Rivers St
Greenwood, SC 29649-8513
Mailing address
1612 Rivers Street
PO Box 50209
Greenwood, SC 29649
Phone (864) 227-1001
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1508056 | SC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenwood-Edgefield-McCormick-Abbeville Commission on Alcohol and Drug | Current | 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.
-
dba Cornerstone
- Substance Use Disorder Rehabilitation Clinic/Center
- Greenwood, SC
- NPI 1053340273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1730540071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 RIVERS STREET",
"address_2": "PO BOX 50209",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "29649",
"telephone_number": "864-227-1001",
"fax_number": "864-227-3619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 RIVERS ST",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296498513",
"telephone_number": "864-227-1001",
"fax_number": "864-227-3619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALLAW",
"first_name": "LAURIE",
"credential": "MA, CACII",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-15",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "SC",
"license": "1508056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, SC
- Brittany Evans
- Micaela D Evans
- Eyemart Express LLC
- Faith Medical Center P.C. (Greenwood Family Practice)
- Faith Prostheitc-Orthotic Services (Greenwood Prosthetic-Orthotic Center)
- Family Physicians of Greenwood PA
- Amy Dixon Farmer, NP
- Julie Holmberg Farmer, PTA
- Morgan Ferqueron Farmer
- Phyllis L. Farren, MS, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.