Individual provider Active NPI

Marika Dillard

  • Clinical Social Worker
  • Fort Mill, SC
National Provider Identifier
1982188553
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12772 Issued in SC
Practice address
852 Gold Hill Rd Ste 204
Fort Mill, SC 29708-6965
Phone
(803) 675-8227
NPI assigned
Sep 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12389-C NV
Clinical Social Worker 1041C0700X 12772 SC Primary

Addresses

Primary practice location

852 Gold Hill Rd Ste 204
Fort Mill, SC 29708-6965

Mailing address

852 Gold Hill Rd Ste 204
Fort Mill, SC 29708-6965

Other practice location 1

1980 Festival Plaza Dr
Las Vegas, NV 89135-2927
Phone (323) 205-7088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NV, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220217002904 SC Practitioner - Clinical Social Worker 3678967577 Reassigns benefits to 1 organization
I20250619000360 NV Practitioner - Clinical Social Worker 3678967577 Reassigns benefits to 1 organization
I20251204001411 NC Practitioner - Clinical Social Worker 3678967577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12389-CNVMDClinical Social Worker
12772SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Nov 17, 2025 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Jun 7, 2025 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients
Stepping Stones Counesling Services,LLC Clinical PastSince Mar 1, 2021 Accepting new patients
Thrive Family Services Mental Health PastSince Jun 8, 2025 Accepting new patients

Locations

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

203 S Water St
Ste 206
Henderson, NV 89015

1980 Festival Plaza Dr
Las Vegas, NV 89135
Phone (323) 205-7988

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

Interoperability endpoints

  • Direct secure messaging: marika.dillard.p1@direct.ncfmc.nextgenshare.com

Organizations & group practices 5

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": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1982188553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 GOLD HILL RD STE 204",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 GOLD HILL RD STE 204",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086965",
            "telephone_number": "803-675-8227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1980 Festival Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891352927",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "MARIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "12389-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "12772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

Verify at the official NPI Registry.