Organization Active NPI

Bethany Christian Services of. SC.

  • Social Worker
  • Myrtle Beach, SC
National Provider Identifier
1952844110
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
BETHANY CHRISTIAN SERVICES OF. SC.
Practice address
9403 Hwy 709
Suite D
Myrtle Beach, SC 29588
Phone
(843) 353-6600
Fax
(843) 839-4555
NPI assigned
Nov 21, 2016
Organization subpart
Yes
Parent organization
BETHANY CHRISTIAN SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Lisa Stoutmeyer
Title
Biller
Phone
(616) 224-7429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

9403 Hwy 709
Suite D
Myrtle Beach, SC 29588

Mailing address

PO Box 14400
Surfside Beach, SC 29587
Phone (843) 353-6600

National Provider Directory

National Provider Directory
Part of
Bethany Christian Services

Locations

1612 Marion St
Ste 206
Columbia, SC 29201
Phone (803) 779-0541

1500 Highway 17 N
Ste 210
Surfside Beach, SC 29575

Practitioners & affiliated clinicians

Practitioners 3

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": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1952844110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14400",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "29587",
            "telephone_number": "843-353-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9403 HWY 709",
            "address_2": "SUITE D",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29588",
            "telephone_number": "843-353-6600",
            "fax_number": "843-839-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY CHRISTIAN SERVICES OF. SC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BETHANY CHRISTIAN SERVICES",
        "enumeration_date": "2016-11-21",
        "last_updated": "2024-03-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "STOUTMEYER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "616-224-7429"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.