SANDRA JETER (NPI# 1689076218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689076218 |
| Entity Type | Individual |
| Full Name | SANDRA JETER |
| Practice Address |
4206 N Main St Columbia SC 29203-5864 |
| Mailing Address |
Po Box 3788 Columbia SC 29230-3788 |
| Practice Telephone | 8037862121 |
| Practice Fax Number | 8037862124 |
| Mailing Telephone | 8037335969 |
| Mailing Fax Number | 8032170026 |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 4857 | SC | Behavioral Health & Social Service Providers |
| Street Address |
4206 N MAIN ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-5864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093051245 | Eau Claire Cooperative Health Center, Inc. | Clinic/Center | 4206 N Main St, Columbia, SC 29203-5864 | 2012-12-17 |
| 1548661424 | Shakara Hart | Social Worker | 4206 N Main St, Columbia, SC 29203-5864 | 2014-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716172 | James Van Jefferson Jr. | Social Worker | 1228 Harden St Ste C, Columbia, SC 29204-1800 | 2020-09-30 |
| 1750995627 | Wynell Foy Frame | Social Worker | 10883 Beech Creek Dr, Columbia, MD 21044-1031 | 2020-09-08 |
| 1033720958 | Fern Cohen | Social Worker | 6416 Misty Top Pass, Columbia, MD 21044-6000 | 2020-08-13 |
| 1164032892 | Bobby Gamble | Social Worker | 4611 Hard Scrabble Rd Ste 261, Columbia, SC 29229-8584 | 2020-08-06 |
| 1356967343 | Demorrie Evans | Social Worker | 2414 Bull St Ste 201, Columbia, SC 29201-1906 | 2020-06-25 |
| 1831711761 | Cheryl Ruby Strait | Social Worker | 4500 Hard Scrabble Rd Apt 736, Columbia, SC 29229-9494 | 2020-05-14 |
| 1457980989 | Anna Olivia Eggebrecht | Social Worker | 14 Hampton Springs Ct, Columbia, SC 29209-1844 | 2020-04-06 |
| 1851926232 | Stephanie Dawn Cook | Social Worker | 10630 Little Patuxent Pkwy Ste 301, Columbia, MD 21044-6201 | 2020-03-06 |
| 1952935199 | Daniel Louis Goldman | Social Worker | 848 Ohio St, Columbia, SC 29201-4453 | 2020-02-26 |
| 1164060794 | Gabrielle Tipton | Social Worker | 6410 Dobbin Rd Ste F, Columbia, MD 21045-4774 | 2019-12-13 |
| Find all providers in COLUMBIA | ||||
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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.