Susan Carole Gentry, LISW-CP, CSC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6196 Issued in SC

Practice address

23 Surrey CT
Columbia, SC 29212-3139

Phone

(803) 551-2900

NPI assigned

Apr 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Specialty

Clinical Social Worker

Education

University of South Carolina School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Capital Brain Center, PAGroup PAC ID 1850491523, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Capital Brain Center, PA

  • Psychiatry Physician
  • Columbia, SC
  • NPI 1629106430

  SC

  Medicare reassignment Care Compare group
• Hospice and Palliative Care of the Piedmont Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Greenwood, SC
  • NPI 1902064512

  SC

  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  SC

  Medicare reassignment
• Hospicecare of the Piedmont, Inc.

  • Home Health Agency
  • Greenwood, SC
  • NPI 1952467417
  NPD
• Dermatology and Skin Surgery Inc

  • Dermatology Physician
  • Sumter, SC
  • NPI 1366075343
  NPD (past)
• Piedmont Psychiatric Service PA

  • Adult Mental Health Clinic/Center
  • Greenville, SC
  • NPI 1164481867
  NPD (past)
• Sumter Psychiatry Associates PA

  • Psychiatry Physician
  • Sumter, SC
  • NPI 1679589485

  Clinical

  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1891752846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SURREY CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123139",
            "telephone_number": "803-551-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SURREY CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123139",
            "telephone_number": "803-551-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Nut Leaf Ln",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296056446",
            "country_code": "US",
            "telephone_number": "864-430-2585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "SUSAN",
        "middle_name": "CAROLE",
        "name_prefix": "Mrs.",
        "credential": "LISW-CP, CSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "6196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gentle Journey & Co LLC
• Gentle Stix Collection & Training LLC
• Marissa Lynn Gentle, DMD
• Elaine B Gentry
• Marisa Vella Gentry, NP-C
• Genuine Care LLC
• Bridgette Michele George
• Kennedy George
• Leland E George, PA
• Linda J George, CNM

• All providers in Columbia, SC
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.