Joseph Rufus Wofford, MA, LPC, NCC, CCMHC
Individual provider Active NPI Professional Counselor · Pelion, SC
NPI 1902205131 · NPPES record last updated Nov 21, 2014
Key facts
- NPI
- 1902205131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5462 (SC)
- Practice address
- 8063 Edmund Hwy
Pelion, SC 29123-9805 - Phone
- (803) 894-3736
- Fax
- (803) 894-5315
- NPI assigned
- Aug 13, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5462 | SC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eau Claire Cooperative Health Center, Inc. | Past | Accepting new patients |
Interoperability endpoints
- joseph.wofford.2@10781.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 007517 | GA | |
| Professional Counselor | 101YP2500X | 5462 | SC | Yes |
Addresses
Primary practice location
8063 Edmund Hwy
Pelion, SC 29123-9805
Mailing address
PO Box 3788
Columbia, SC 29230-3788
Phone (803) 733-5969
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC1410 | Medicaid | SC |
Other providers in Pelion, SC
- Selma Saunders
- Scad Consultants USA LLC
- Jennifer Thomas
- George Samuel Wham Jr.
- Amanda Wise
- Andrena S Zeigler
All providers in Pelion, SC · Professional Counselor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.