Weinbaum Clinical Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6951 Issued in SC

Legal business name

WEINBAUM CLINICAL SERVICES

Practice address

604 S Coit St
Florence, SC 29501-5223

Phone

(843) 629-0034

Fax

(843) 629-9192

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Linda Weinbaum, ACSW

Title

President

Phone

(843) 629-0034

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821163288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S COIT ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015223",
            "telephone_number": "843-629-0034",
            "fax_number": "843-629-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S COIT ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015223",
            "telephone_number": "843-629-0034",
            "fax_number": "843-629-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEINBAUM CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEINBAUM",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-629-0034",
        "authorized_official_credential": "ACSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "6951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2044251",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QM0731",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard D Weber, DPM
• Michael Jake Webster
• Tyler Edward Weeks, DO
• Jessica Tomlinson Wegmann, PA-C
• Jeanine Gay Weill, OTR/L
• Weinbaum Psychiatric Services
• Ashley Weiss
• Charles Daniel Welch Jr., DMD
• Elizabeth Michele Welch, OTR/L
• Priscilla L Welch, MD

• Clinical Social Worker in Florence, SC
• Providers in Florence, 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 Aug 22, 2020; 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.