CENTER FOR PERSONAL GROWTH NPI 1790935336

NPI Information

  • NPI: 1790935336
  • Provider Name: CENTER FOR PERSONAL GROWTH
  • Classification: Social Worker - 104100000X
  • Entity Type: Organization
  • CLIA Number: 42D1051441
  • Address: 150 B W THOMAS DR
    #125
    FT. MILL, SC
    ZIP 29708
  • Phone: (803) 517-9816

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NPI Details

CENTER FOR PERSONAL GROWTH is a social worker in Ft. Mill, SC. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. CENTER FOR PERSONAL GROWTH NPI is 1790935336. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

150 B W THOMAS DR
#125
FT. MILL, SC
ZIP 29708
Phone: (803) 517-9816
Fax: (803) 548-5343

The provider's authorized official is Sally A Smith .
The authorized official title is Office Manager and has the following contact phone number (803) 283-3810.

The CLIA number assigned to this NPI record is 42D1051441 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2008 and was last updated on 4/30/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial Worker6244SOUTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17810MEDICARE PINSOUTH CAROLINA

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: 11/21/2025

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