SOCIAL CHANGE INITIATIVE (NPI# 1174905806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174905806 |
| Entity Type | Organization |
| Organization Name | SOCIAL CHANGE INITIATIVE |
| Practice Address |
1402 C Hwy 72 West Greenwood SC 29649 |
| Practice Telephone | 8643884102 |
| Mailing Telephone | 8643884102 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |
| Authorized Official Name | MICHAEL GASKIN (PRESIDENT/CEO) |
| Authorized Official Telephone | 8643884102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOCIAL CHANGE INITIATIVE, THE | 1402c Hwy 72 W, Greenwood, SC 29649-1822 |
| Street Address |
1402 C HWY 72 WEST |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346895455 | Prathamkumar Rakeshkumar Patel | Pharmacist | 508 By-pass 72 Northwest, Greenwood, SC 29649 | 2019-08-06 |
| 1821650284 | Lindsay Kay Fuqua | Dentist | 1302 Sc-72 Business, Greenwood, SC 29649 | 2019-07-05 |
| 1457830291 | Stephanie Dixon | Speech-Language Pathologist | 1075 Bypass 25 Ne, Greenwood, SC 29649 | 2018-08-13 |
| 1891286613 | Tylan Creek Family Dentistry Greenwood | Clinic/Center | 3710 Highway 221- 72e, Greenwood, SC 29649 | 2018-05-29 |
| 1225549090 | Tekola Moore | Registered Nurse | 150 By-pass 225, Greenwood, SC 29649 | 2017-10-19 |
| 1629588520 | Adrienne Jackson | Prosthetist | 2005 Old Laurens Rd, Greenwood, SC 29649 | 2017-10-05 |
| 1982141115 | Debras Hair Studio LLC | Prosthetic/Orthotic Supplier | 1516 Bypass 72 Ne Ste D, Greenwood, SC 29649 | 2017-01-25 |
| 1225406960 | Jim Nasim | Dentist | 101 West Durst Avenue, Greenwood, SC 29649 | 2015-09-11 |
| 1346661683 | Cambridge Dental of Greenwood, LLC | Clinic/Center | 1302 Sc Hwy 72 W Business, Greenwood, SC 29649 | 2014-01-03 |
| 1538419080 | James Self Corley IIi | Pharmacist | 1302 Hwy 72-221 East, Greenwood, SC 29649 | 2012-09-12 |
| Find all providers in zip 29649 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740804491 | Strides Equestrian Therapeutic Center LLC | Community/Behavioral Health | W6769 Colby Factory Rd, Greenwood, WI 54437-9010 | 2020-05-28 |
| 1265061998 | Gateway Psychological Services | Community/Behavioral Health | 435 E Main St Ste 195, Greenwood, IN 46143-1456 | 2020-04-04 |
| 1265903595 | Abuse Counseling and Education Inc. | Community/Behavioral Health | 3209 W Smith Valley Rd Ste 137, Greenwood, IN 46142-8514 | 2018-12-16 |
| 1043798184 | Longleaf Counseling Services LLC | Community/Behavioral Health | 7564 Beebe Dr, Greenwood, LA 71033-3319 | 2018-07-31 |
| 1740656628 | Region 6 Community Mental Health Commission | Community/Behavioral Health | 2712 Highway 82 East, Greenwood, MS 38935 | 2015-08-14 |
| 1275920399 | Sunstone Health & Wellness, Inc. | Community/Behavioral Health | 1700 W Smith Valley Rd Ste B4, Greenwood, IN 46142-1589 | 2015-04-16 |
| 1336568765 | Gravity Counseling Group | Community/Behavioral Health | 945 Sunset Dr, Greenwood, SC 29646-1807 | 2014-04-14 |
| 1760787824 | Ii Corinthians 5:17 Inc | Community/Behavioral Health | 1043 Phoenix St, Greenwood, SC 29646-3915 | 2011-01-21 |
| 1558973560 | Inner Peace Counseling, LLC | Community/Behavioral Health | 1199 Scarborough Ln Apt 809, Greenwood, IN 46142-1666 | 2020-08-20 |
| 1144854886 | Western Arkansas Counseling and Guidance Center,inc.-rcf Greenwood | Community/Behavioral Health | 1200 W Center St, Greenwood, AR 72936-3716 | 2020-03-02 |
| Find all providers in GREENWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.