Active NPI
Dialectical Behavioral Health Services LLC
- Clinical Social Worker
- Orangeburg, SC
National Provider Identifier
1780329151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- DIALECTICAL BEHAVIORAL HEALTH SERVICES LLC
- Practice address
- 396 Saint Paul St Ste 107B
Orangeburg, SC 29115-5467 - Phone
- (803) 937-6151
- Fax
- (803) 937-6851
- NPI assigned
- May 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia Ann Thompson, LISW-CP, LCSW-R
- Title
- Director
- Phone
- (803) 937-6151
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
396 Saint Paul St Ste 107B
Orangeburg, SC 29115-5467
Mailing address
396 Saint Paul St Ste 107B
Orangeburg, SC 29115-5467
Phone (803) 937-6151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
396 Saint Paul St
Ste 107B
Orangeburg, SC 29115
Phone (803) 937-6151
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651363200000",
"number": "1780329151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "396 SAINT PAUL ST STE 107B",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291155467",
"telephone_number": "803-937-6151",
"fax_number": "803-937-6851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "396 SAINT PAUL ST STE 107B",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291155467",
"telephone_number": "803-937-6151",
"fax_number": "803-937-6851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIALECTICAL BEHAVIORAL HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-01",
"last_updated": "2022-05-01",
"certification_date": "2022-05-01",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "803-937-6151",
"authorized_official_credential": "LISW-CP, LCSW-R"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orangeburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.