NPIMap

Organization Active NPI

Center for Personal Growth

  • Social Worker
  • Ft. Mill, SC
National Provider Identifier
1790935336
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6244 Issued in SC
Legal business name
CENTER FOR PERSONAL GROWTH
Practice address
150 B W Thomas Dr
#125
Ft. Mill, SC 29708
Phone
(803) 517-9816
Fax
(803) 548-5343
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Sally A Smith, SOCIAL WORKER
Title
Office Manager
Phone
(803) 283-3810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 6244 SC Primary

Addresses

Primary practice location

150 B W Thomas Dr
#125
Ft. Mill, SC 29708

Mailing address

150 B.W. Thomas Drive
#125
Ft. Mill, SC 29708
Phone (803) 517-9816

National Provider Directory

National Provider Directory

Locations

7705 Tega Cay Dr
Ste 6
Fort Mill, SC 29708
Phone (803) 547-7099

150 Bw Thomas Dr
Ste 125
Fort Mill, SC 29708
Phone (803) 517-9816

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1790935336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 B.W. THOMAS DRIVE",
            "address_2": "#125",
            "city": "FT. MILL",
            "state": "SC",
            "postal_code": "29708",
            "telephone_number": "803-517-9816",
            "fax_number": "803-548-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 B W THOMAS DR",
            "address_2": "#125",
            "city": "FT. MILL",
            "state": "SC",
            "postal_code": "29708",
            "telephone_number": "803-517-9816",
            "fax_number": "803-548-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PERSONAL GROWTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-283-3810",
        "authorized_official_credential": "SOCIAL WORKER"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "SC",
            "license": "6244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft. Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.