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DEPARTMENT OF JUVENILE JUSTICE NPI 1619212917


NPI Information

NPI: 1619212917
Provider Name: DEPARTMENT OF JUVENILE JUSTICE

Other Name: SOUTH CAROLINA STATE GOVERNMENT

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1725 SHIVERS RD
COLUMBIA, SC
ZIP 29210
Phone: (806) 896-5695
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DEPARTMENT OF JUVENILE JUSTICE is a community behavioral health in Columbia, SC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. DEPARTMENT OF JUVENILE JUSTICE NPI is 1619212917. The provider is registered as an organization entity type.
The provider Other Name Is South Carolina State Government.

The provider's business location address is:

1725 SHIVERS RD
COLUMBIA, SC
ZIP 29210-413
Phone: (806) 896-5695

The provider's authorized official is Deborah Bennett-york .
The authorized official title is Social Worker and has the following contact phone number (803) 788-8911.

The enumeration date for this NPI number is 11/28/2012 and was last updated on 12/3/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health4663SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14663OTHERSOUTH CAROLINALICENSED BY THE BOARD OF SOCIAL WORK EXAMINERS
229832OTHERSOUTH CAROLINAAMERICAN BOARD OF EXAMINERS OF CLINICAL SOCIAL WORKERS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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