Individual provider Active NPI

Mark Dexter Meachem, LISW-CP

  • Clinical Social Worker
  • Rock Hill, SC
National Provider Identifier
1992826531
Registry record updated Apr 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8737 Issued in SC
Practice address
849 Sumter Ave
Rock Hill, SC 29730-3642
Phone
(803) 829-6485
Fax
(803) 327-1876
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8737 SC Primary

Addresses

Primary practice location

849 Sumter Ave
Rock Hill, SC 29730-3642

Mailing address

849 Sumter Ave
Rock Hill, SC 29730-3642
Phone (803) 829-6485

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Saluda Counseling Services Center Inc. Clinical CurrentSince Jun 11, 2012 Accepting new patients

Locations

700 N Main St
Lancaster, SC 29720
Phone (855) 255-1993

2400 Main St W
Rock Hill, SC 29732
Phone (803) 327-6103

Organizations & group practices 1

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492905600000",
    "number": "1992826531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 SUMTER AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303642",
            "telephone_number": "803-829-6485",
            "fax_number": "803-327-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 SUMTER AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303642",
            "telephone_number": "803-829-6485",
            "fax_number": "803-327-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEACHEM",
        "first_name": "MARK",
        "middle_name": "DEXTER",
        "name_prefix": "Mr.",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2017-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "8737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.