Individual provider Active NPI

Donald R Gidney, LISW-CP, LCSW, LCAS

  • Clinical Social Worker
  • Columbia, SC
National Provider Identifier
1891082418
Registry record updated Feb 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10722 Issued in SC
Practice address
1919 Gadsden St
Columbia, SC 29201-2346
Phone
(803) 779-5356
Fax
(803) 779-2135
NPI assigned
Jul 3, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1916 NC
Clinical Social Worker 1041C0700X C008711 NC
Clinical Social Worker 1041C0700X 10722 SC Primary

Addresses

Primary practice location

1919 Gadsden St
Columbia, SC 29201-2346

Mailing address

222 Bennington Cir
Columbia, SC 29229-9615
Phone (803) 779-5356

Other identifiers 1

IdentifierTypeStateIssuer
SW1234MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150608000079 SC Practitioner - Clinical Social Worker 4688995301 Reassigns benefits to 1 organization
I20250305000701 NC Practitioner - Clinical Social Worker 4688995301 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1916NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Dec 31, 2024 Accepting new patients
Jerome Hanley Past Accepting new patients
Wright Consulting Group, LLC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1309651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486252800000",
    "number": "1891082418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BENNINGTON CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299615",
            "telephone_number": "803-779-5356",
            "fax_number": "803-779-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 GADSDEN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012346",
            "telephone_number": "803-779-5356",
            "fax_number": "803-779-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDNEY",
        "first_name": "DONALD",
        "middle_name": "R",
        "credential": "LISW-CP, LCSW, LCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-03",
        "last_updated": "2017-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1916",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008711",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "10722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1234",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.