Organization Active NPI

Palmetto State Pcit, LLC

  • Clinical Social Worker
  • Bluffton, SC
National Provider Identifier
1790351666
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PALMETTO STATE PCIT, LLC
Practice address
26 Heartwood CT
Bluffton, SC 29910-9560
Phone
(843) 321-7107
Fax
(843) 326-4806
NPI assigned
Jun 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Ashley Bratcher, LISW-CPNPI 1932238532
Title
Founder/Therapist
Phone
(843) 321-7107

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

26 Heartwood CT
Bluffton, SC 29910-9560

Mailing address

198 Okatie Village Dr Ste 103-332
Okatie, SC 29909-7527
Phone (843) 321-7107

National Provider Directory

National Provider Directory

Locations

198 Okatie Village Dr
Ste 103332
Okatie, SC 29909

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1790351666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 OKATIE VILLAGE DR STE 103-332",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097527",
            "telephone_number": "843-321-7107",
            "fax_number": "843-326-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 HEARTWOOD CT",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109560",
            "telephone_number": "843-321-7107",
            "fax_number": "843-326-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO STATE PCIT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "BRATCHER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "FOUNDER/THERAPIST",
        "authorized_official_telephone_number": "843-321-7107",
        "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": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.