Organization Active NPI

SG Psychotherapy and Counseling Associates, LLC

  • Clinical Social Worker
  • West Columbia, SC
National Provider Identifier
1932144722
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6961 Issued in SC
Legal business name
SG PSYCHOTHERAPY AND COUNSELING ASSOCIATES, LLC
Practice address
2999 Sunset Blvd
Suite 100
West Columbia, SC 29169-3496
Phone
(803) 939-9699
Fax
(803) 939-9086
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephanie F. Greene, MSW, LISW-CP
Title
Licensed Clinical Social Worker/Own
Phone
(803) 939-9699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6961 SC Primary

Addresses

Primary practice location

2999 Sunset Blvd
Suite 100
West Columbia, SC 29169-3496

Mailing address

207 Hamptons Grant CT
Columbia, SC 29209-1973
Phone (803) 783-6560

National Provider Directory

National Provider Directory

Locations

2999 Sunset Blvd
Ste 100
West Columbia, SC 29169
Phone (803) 553-1235

Practitioners & affiliated clinicians

Practitioners 1

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": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932144722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 HAMPTONS GRANT CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091973",
            "telephone_number": "803-783-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 SUNSET BLVD",
            "address_2": "SUITE 100",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693496",
            "telephone_number": "803-939-9699",
            "fax_number": "803-939-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SG PSYCHOTHERAPY AND COUNSELING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER/OWN",
        "authorized_official_telephone_number": "803-939-9699",
        "authorized_official_credential": "MSW, LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "6961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.