Melody Garner Blighton, MSW, LISW-CP

Individual provider Active NPI Clinical Social Worker · Simpsonville, SC

NPI 1831655299 · NPPES record last updated Oct 20, 2023

Key facts

NPI
1831655299
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
16411 (SC)
Practice address
20 Powderhorn Rd
Simpsonville, SC 29681-3399
Phone
(864) 963-3421
NPI assigned
Feb 11, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
16411SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office Past
since Jul 17, 2002
Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 16411 SC Yes

Addresses

Primary practice location

20 Powderhorn Rd
Simpsonville, SC 29681-3399

Mailing address

20 Powderhorn Rd
Simpsonville, SC 29681-3399
Phone (864) 963-3421

Other providers in Simpsonville, SC

All providers in Simpsonville, SC · Clinical Social Worker in South Carolina

Sources for this page

Verify at the official NPI Registry.