Active NPI
Alex Ramon Wright
- Clinical Social Worker
- Eastover, SC
National Provider Identifier
1962914036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.019623
- Practice address
- 860 S Carolina Rd
Eastover, SC 29044-5052 - Phone
- (803) 299-6627
- NPI assigned
- Oct 30, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.019623 | IL | Primary |
Addresses
Primary practice location
860 S Carolina Rd
Eastover, SC 29044-5052
Mailing address
348 Chapelwhite Rd
Irmo, SC 29063-2607
Phone (803) 439-4495
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149.019623 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509321600000",
"number": "1962914036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 CHAPELWHITE RD",
"city": "IRMO",
"state": "SC",
"postal_code": "290632607",
"telephone_number": "803-439-4495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 S CAROLINA RD",
"city": "EASTOVER",
"state": "SC",
"postal_code": "290445052",
"telephone_number": "803-299-6627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "ALEX",
"middle_name": "RAMON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-30",
"last_updated": "2017-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.019623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eastover, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.