Individual provider Active NPI

William Henry Korthals III, MSW, LCSW

  • Clinical Social Worker
  • Myrtle Beach, SC
National Provider Identifier
1972721124
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13050 Issued in SC
Practice address
1800 Airpark Dr
Myrtle Beach, SC 29577-1412
Phone
(843) 301-3202
NPI assigned
Apr 23, 2007
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 061583 NY
Clinical Social Worker 1041C0700X Q1-0001104 DE
Clinical Social Worker 1041C0700X 13050 SC Primary

Addresses

Primary practice location

1800 Airpark Dr
Myrtle Beach, SC 29577-1412

Mailing address

250 Southern Breezes Cir
Murrells Inlet, SC 29576-9390
Phone (716) 517-1394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250924004838 DE Practitioner - Clinical Social Worker 2567967185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

250 Southern Breezes Cir
Murrells Inlet, SC 29576-9390

500 Westover Dr
Sanford, NC 27330-8941

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0001104DEMDClinical Social Worker
13050SCMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Feb 10, 2026 Accepting new patients
Mental Health Specialty Group PA CurrentSince Sep 10, 2025 Accepting new patients
Collins Creek Counseling PastSince Mar 24, 2025 Accepting new patients

Locations

1000 N West St
Ste 1200
Wilmington, DE 19801
Phone (302) 449-6471

Interoperability endpoints

  • Direct secure messaging: williamkorthals@tdh.allscriptsdirect.net

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1972721124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SOUTHERN BREEZES CIR",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295769390",
            "telephone_number": "716-517-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 AIRPARK DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771412",
            "telephone_number": "843-301-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORTHALS",
        "first_name": "WILLIAM",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "061583",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001104",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "13050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.