Individual provider Active NPI

Bernadette C Tourtual, LISW-CP

  • Clinical Social Worker
  • Charleston, SC
National Provider Identifier
1881685501
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8537 Issued in SC
Practice address
2900 Evatt Lane Suite 106
Palmetto Behavioral Health Solutions LLC
Charleston, SC 29405
Phone
(843) 745-5189
Fax
(843) 747-8080
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8537 SC Primary

Addresses

Primary practice location

2900 Evatt Lane Suite 106
Palmetto Behavioral Health Solutions LLC
Charleston, SC 29405

Mailing address

4826 Habersham LN
Summerville, SC 29485-8580
Phone (843) 851-1930

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881685501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4826 HABERSHAM LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858580",
            "telephone_number": "843-851-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 EVATT LANE SUITE 106",
            "address_2": "PALMETTO BEHAVIORAL HEALTH SOLUTIONS LLC",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29405",
            "telephone_number": "843-745-5189",
            "fax_number": "843-747-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOURTUAL",
        "first_name": "BERNADETTE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "8537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.