Kwanis S. Carlos, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16393 Issued in SC

Practice address

201 Sigma Dr Ste 300
Summerville, SC 29486-7722

Phone

(800) 811-0723

NPI assigned

Apr 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healing Beyond Imperfections LLC

  • Clinical Social Worker
  • Summerville, SC
  • NPI 1962233411
  NPD Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932
  NPD

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1811577604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 RICHFIELD WAY",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294862490",
            "telephone_number": "404-593-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SIGMA DR STE 300",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867722",
            "telephone_number": "800-811-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLOS",
        "first_name": "KWANIS",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2023-09-26",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "16393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwanshanori@healingbeyondimperfections.com",
            "affiliation": "N",
            "address_1": "201 Sigma Dr Ste 300",
            "city": "Summerville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294867722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Care for Me Home Care Services LLC
• Caregivers Unlimited,LLC
• Kristin Lee Carestio, LMT
• Caring Counseling Services
• Robert Matthew Carlile, M.D.
• Sharon Jill Carlton, PHARM. D
• Shannon McAvoy Carmignani, DPM
• Carolina Behavioral Counseling
• Carolina Eyecare Physicians, LLC
• Carolina Family Care, Inc

• Clinical Social Worker in Summerville, SC
• Providers in Summerville, 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 Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.