Organization Active NPI

Dialectical Behavioral Health Services LLC

  • Clinical Social Worker
  • Orangeburg, SC
National Provider Identifier
1780329151
Registry record updated May 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on May 1, 2022

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-RNPI 1700020443
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20220616001723 SC Part B Supplier - Clinic/Group Practice 7113306432 Receives reassigned benefits from 1 practitioner
Practice locations: Orangeburg, SC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.