Silver Birch Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SILVER BIRCH WELLNESS LLC

Practice address

531 Oxford St Ste C-6
Sumter, SC 29150-3300

Phone

(803) 968-4222

NPI assigned

Jun 30, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Regina Lee-Carter, LISW-CPNPI 1629436480

Title

Authorized Official/Owner

Phone

(803) 968-4222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Regina Lee-Carter

  • Addiction (Substance Use Disorder) Counselor
  • Sumter, SC
  • NPI 1629436480
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1740912476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 OXFORD ST STE C-6",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291503300",
            "telephone_number": "803-968-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 OXFORD ST STE C-6",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291503300",
            "telephone_number": "803-968-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER BIRCH WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "LEE-CARTER",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
        "authorized_official_telephone_number": "803-968-4222",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louana J Shepard
• Shanika Renee Shephard, FNP
• Torre Mirandon Shepker, LPC, AADC, NCC, MAC
• James Franklin Shuler Jr., R.PH.
• Lauren Nicole Shurtliff
• Gwenneth C Simmonds, APRN-CNM
• Joseph Simmons Jr.
• Yolanda Raychel Simmons, COTA/L
• Hannah Elisabeth Simms, LISW-CP
• Dominic Simon, LMSW

• Clinical Social Worker in Sumter, SC
• Providers in Sumter, 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 Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.