Individual provider Active NPI

Brittany Dorn, LISW-CP

  • Clinical Social Worker
  • West Columbia, SC
National Provider Identifier
1891247730
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10133 Issued in SC
Practice address
636 Pine Ridge Dr Ste E
West Columbia, SC 29172-1867
Phone
(803) 830-2903
NPI assigned
Oct 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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 10133 SC Primary

Addresses

Primary practice location

636 Pine Ridge Dr Ste E
West Columbia, SC 29172-1867

Mailing address

636 Pine Ridge Dr Ste E
West Columbia, SC 29172-1867
Phone (803) 830-2903

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10133SCMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Maternal Healing Haven LLC Clinical CurrentSince Sep 1, 2022 Accepting new patients

Locations

7825 Broad River Rd
Ste 200
Irmo, SC 29063
Phone (803) 262-0794

636 Pine Ridge Dr
Ste E
West Columbia, SC 29172
Phone (803) 830-2903

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1891247730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 PINE RIDGE DR STE E",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291721867",
            "telephone_number": "803-830-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 PINE RIDGE DR STE E",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291721867",
            "telephone_number": "803-830-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORN",
        "first_name": "BRITTANY",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "10133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.