Active NPI
Marika Dillard
- Clinical Social Worker
- Fort Mill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12772
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12389-C | NV | MD | Clinical Social Worker |
| 12772 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| Mental Health Specialty Group PA | Mental Health | Current | Accepting new patients |
| South Carolina Dept of Mental Health Accounting Office | Past | Accepting new patients | |
| Stepping Stones Counesling Services,LLC | Clinical | Past | Accepting new patients |
| Thrive Family Services | Mental Health | Past | 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
- 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.
-
- Community/Behavioral Health Agency
- Columbia, SC
- NPI 1083421994
-
- Clinical Social Worker
- Rock Hill, SC
- NPI 1124344486
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.