Individual provider Active NPI

David Randall Geddings, LISW-CP

  • Clinical Social Worker
  • Mount Pleasant, SC
National Provider Identifier
1962073957
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16708 Issued in SC
Practice address
825 Lowcountry Blvd Ste 106
Mount Pleasant, SC 29464-3064
Phone
(438) 305-7005
NPI assigned
Jul 9, 2021
Reactivated
May 19, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16708 SC Primary

Addresses

Primary practice location

825 Lowcountry Blvd Ste 106
Mount Pleasant, SC 29464-3064

Mailing address

825 Lowcountry Blvd Ste 106
Mount Pleasant, SC 29464-3064
Phone (438) 305-7005

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
16708SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Counseling Services LLC PastSince Jul 1, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1962073957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 LOWCOUNTRY BLVD STE 106",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643064",
            "telephone_number": "438-305-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 LOWCOUNTRY BLVD STE 106",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643064",
            "telephone_number": "438-305-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDDINGS",
        "first_name": "DAVID",
        "middle_name": "RANDALL",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-09",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "deactivation_date": "2022-09-05",
        "reactivation_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "16708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.