Lifeway Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5329 Issued in SC

Legal business name

LIFEWAY COUNSELING LLC

Practice address

2575 Lin DO CT
Suite C
Sumter, SC 29150-1832

Phone

(803) 968-1138

Fax

(803) 905-5209

NPI assigned

Aug 7, 2016

Organization subpart

No

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

Authorized official

Name

Constance Gina Smith, M.DIV., LISW-CP

Title

Clinical Director

Phone

(803) 968-1138

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

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

• Gina Watson Smith, MDIV LISW CP

  • Clinical Social Worker
  • Sumter, SC
  • NPI 1639273980
  Medicare reassignment NPD
• Christy T Slocum, LISW-CP

  • Clinical Social Worker
  • Sumter, SC
  • NPI 1730499559
  NPD (past)

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

{
    "created_epoch": "1470528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1770037855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 LIN DO CT",
            "address_2": "SUITE C",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501832",
            "telephone_number": "803-968-1138",
            "fax_number": "803-905-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 LIN DO CT",
            "address_2": "SUITE C",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501832",
            "telephone_number": "803-968-1138",
            "fax_number": "803-905-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWAY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-07",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "GINA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "803-968-1138",
        "authorized_official_credential": "M.DIV., LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "5329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bethany Nicole Light, DPT, PT
• Lighthouse Anesthesiology of South Carolina, PA
• Usah Lilavivat, MD
• Camille Lin, MD
• Lincare Inc

• 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 Jan 25, 2021; 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.