Marchelle Dawn Gouvin, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006419 Issued in SC

Practice address

224 E Main St
Lexington, SC 29072-3546

Phone

(803) 808-5222

Fax

(803) 957-2062

NPI assigned

Aug 17, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1962982066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SUNCHASER DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297307",
            "telephone_number": "803-238-8613",
            "fax_number": "803-376-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E MAIN ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723546",
            "telephone_number": "803-808-5222",
            "fax_number": "803-957-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUVIN",
        "first_name": "MARCHELLE",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "006419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Gordon, SLP
• Sheila C Gordon, ATC
• Lauren Goude
• Cathy C Gould, PT
• Jennifer Suzanne Gould, MCD, SLP-CCC
• Grace Caregivers, LLC
• Grace Home Care Services LLC
• Grace Physicians Services
• Grace Speech Language Therapy LLC
• Claudia Graf, LPC

• Clinical Social Worker in Lexington, SC
• Providers in Lexington, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.