Crescent Moon Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9781 Issued in SC

Legal business name

CRESCENT MOON COUNSELING, LLC

Practice address

1705 Richland St
Columbia, SC 29201-2635

Phone

(803) 760-4738

NPI assigned

May 3, 2016

Organization subpart

No

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

Authorized official

Name

Kelly R Herwig, LISW-CPNPI 1013255983

Title

Owner

Phone

(803) 760-4738

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kelly Herwig, LISW-CP, CAC I, GCDF

  • Clinical Social Worker
  • Irmo, SC
  • NPI 1013255983
  NPD Authorized official

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1801241245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 RICHLAND ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012635",
            "telephone_number": "803-760-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 RICHLAND ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012635",
            "telephone_number": "803-760-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT MOON COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "HERWIG",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-760-4738",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Dumas Crenshaw, PH.D.
• Crescent Behavioral Health Services, LLC.
• Crescent Counseling Services, LLC
• Crescent Early Intervention Services, LLC
• Crescent Hospice, Inc.
• Dylan Thomas Crew
• Anfel Adger Crews, APRN
• CRH Anesthesia of South Carolina LLC
• Amanda Rose Cribb, APRN
• Shannon Williamson Cribb, APRN NP-C

• Clinical Social Worker in Columbia, SC
• Providers in Columbia, 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 3, 2018; 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.