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CANTERBURY COUNSELING CENTER NPI 1992847248


NPI Information

NPI: 1992847248
Provider Name: CANTERBURY COUNSELING CENTER
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
7 PETTIGRU ST
GREENVILLE, SC
ZIP 29601
Phone: (864) 235-7501
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CANTERBURY COUNSELING CENTER is a clinical social worker in Greenville, SC. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. CANTERBURY COUNSELING CENTER NPI is 1992847248. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7 PETTIGRU ST
GREENVILLE, SC
ZIP 29601-000
Phone: (864) 235-7501
Fax: (864) 235-7503

The provider's authorized official is Marion B Crooks .
The authorized official title is Director and has the following contact phone number (864) 235-7501.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 6/23/2008.


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
11041C0700XSocial WorkerClinical3664SOUTH 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
100880MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINA
229219T001OTHERSOUTH CAROLINATRICARE FOR LIFE
329219B001OTHERSOUTH CAROLINABCBS OF SC
417089H001OTHERPENNSYLVANIAHIGHMARK, INC
568131M001OTHERNEBRASKAMUTUAL OF OMAHA
629260P001OTHERSOUTH CAROLINAPLANNED ADMINISTRATORS

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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