Individual provider Active NPI

Patricia Frances Hample, LMSW

  • Social Worker
  • Summerville, SC
National Provider Identifier
1942623715
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
9622 Issued in SC
Practice address
810 Travelers Blvd Ste G2
Summerville, SC 29485-8260
Phone
(843) 991-7008
NPI assigned
Jan 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 9622 SC Primary

Addresses

Primary practice location

810 Travelers Blvd Ste G2
Summerville, SC 29485-8260

Mailing address

118 Carolinian Dr
Summerville, SC 29485-6275
Phone (843) 991-7008

Other names 1

  • Patricia Frances Burg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9622SCMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1942623715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CAROLINIAN DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294856275",
            "telephone_number": "843-991-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 TRAVELERS BLVD STE G2",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858260",
            "telephone_number": "843-991-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPLE",
        "first_name": "PATRICIA",
        "middle_name": "FRANCES",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "9622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "BURG",
            "middle_name": "FRANCES",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.