Organization Active NPI

Carolina Speech Works, LLC

  • Speech-Language Pathologist
  • Fort Mill, SC
National Provider Identifier
1912401274
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4449 Issued in SC
Legal business name
CAROLINA SPEECH WORKS, LLC
Practice address
975 Market St Ste 201D
Fort Mill, SC 29708-6531
Phone
(803) 339-3630
Fax
(803) 281-8877
NPI assigned
Mar 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Mrs. Kimberly Michelle Schifano, M.A., CCC-SLPNPI 1902209836
Title
Speech Language Pathologist
Phone
(317) 694-6533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 4449 SC Primary

Addresses

Primary practice location

975 Market St Ste 201D
Fort Mill, SC 29708-6531

Mailing address

1218 Edbrooke LN
Fort Mill, SC 29715-0049
Phone (803) 339-3630

Other practice location 1

1218 Edbrooke Ln
Fort Mill, SC 29715-0049
Phone (317) 694-6533

Other identifiers 1

IdentifierTypeStateIssuer
1902209836OtherNPPES INDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180501000474 SC Part B Supplier - Clinic/Group Practice 7911261821 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Mill, SC
O20181029002551 NC Part B Supplier - Clinic/Group Practice 7911261821 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Holly, NC

National Provider Directory

National Provider Directory

Locations

951 Market St
Ste 202
Fort Mill, SC 29708
Phone (803) 281-0185

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1912401274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 EDBROOKE LN",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297150049",
            "telephone_number": "803-339-3630",
            "fax_number": "803-281-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 MARKET ST STE 201D",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086531",
            "telephone_number": "803-339-3630",
            "fax_number": "803-281-8877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1218 Edbrooke Ln",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297150049",
            "country_code": "US",
            "telephone_number": "317-694-6533",
            "fax_number": "803-281-8877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA SPEECH WORKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "SCHIFANO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "317-694-6533",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES INDIVIDUAL NPI",
            "identifier": "1902209836",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.