Katherine Mai, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17490 Issued in SC

Practice address

3301 Salterbeck St Ste 101
Mount Pleasant, SC 29466-7165

Phone

(843) 410-9940

NPI assigned

Dec 16, 2024

Last updated

Dec 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kintsugi Behavioral Health LLC

  dba Kintsugi Behavioral Health

  • Adult Mental Health Clinic/Center
  • Mount Pleasant, SC
  • NPI 1457168163
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1902613607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 SALTERBECK ST STE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667165",
            "telephone_number": "843-410-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 SALTERBECK ST STE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667165",
            "telephone_number": "843-410-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "17490",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "17490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Nichole Mady, LISW-CP
• Magnolia Counseling of Charleston
• Magnolia Psychiatry LLC
• Magnolia Psychological Services LLC
• Melissa Clark Mahnken, RN, MSN
• Elizabeth Irene Majeski, MD
• James Bradley Majors, OD
• Margaret Malarney
• Kathleen Taylor Maley, OTR/L
• Robin Malik, M.D.

• Clinical Social Worker in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.