MS. JAN FORD BODKIN (NPI# 1841262870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841262870 |
| Entity Type | Individual |
| Full Name | MS. JAN FORD BODKIN |
| Credential | MSW, LISW-CP |
| Practice Address |
3025 Newcastle Loop Queen's Harbor Myrtle Beach SC 29588-4502 |
| Practice Telephone | 8432152400 |
| Practice Fax Number | 8432152444 |
| Mailing Telephone | 8432152400 |
| Mailing Fax Number | 8432152444 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
5636 | SC | Behavioral Health & Social Service Providers |
| Street Address |
3025 NEWCASTLE LOOP QUEEN'S HARBOR |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29588-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245214592 | Renee Ruth Lamm | Psychiatry & Neurology | 3025 Newcastle Loop, Myrtle Beach, SC 29588-4502 | 2005-11-30 |
| 1457997462 | Donna Jo Smolenski | Nurse Practitioner | 3025 Newcastle Loop, Myrtle Beach, SC 29588-4502 | 2019-11-25 |
| 1538229448 | Strand Psychiatric Associates Pa | Psychiatry & Neurology | 3025 Newcastle Loop, Myrtle Beach, SC 29588-4502 | 2006-12-11 |
| 1487734620 | Mary L. Tobin | Clinical Nurse Specialist | 3025 Newcastle Loop, Myrtle Beach, SC 29588-4502 | 2006-10-16 |
| 1487757746 | Michelle Lynn Foglia | Counselor | 3025 Newcastle Loop, Myrtle Beach, SC 29588 | 2006-09-05 |
| 1932183357 | Murray Glenn Honick | Psychiatry & Neurology | 3025 Newcastle Loop, Myrtle Beach, SC 29588-4502 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819309 | Forrest Halsey Westley | Pharmacist | 3072 Dick Pond Rd. Suite 2, Myrtle Beach, SC 29588 | 2020-04-06 |
| 1588124176 | The Counseling Center of Sayebrook | Counselor | 106 Lansford Court Suite 202, Myrtle Beach, SC 29588 | 2019-03-21 |
| 1134631443 | Solid Foundations, LLC | Clinic/Center | 4325 Dick Pond Road, Suite E, Myrtle Beach, SC 29588 | 2017-10-26 |
| 1316496037 | Grand Strand Rehab and Nursing Center, LLC | Skilled Nursing Facility | 4452 Socastee Boulevard, Myrtle Beach, SC 29588 | 2016-09-22 |
| 1386092039 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1370 South Commons Drive, Suite 102, Myrtle Beach, SC 29588 | 2016-06-02 |
| 1114314531 | Allison Smith | Physical Therapy Assistant | 4870 Socastee Blvd, Myrtle Beach, SC 29588 | 2015-04-23 |
| 1760806160 | Myrtle Beach Physical Medicine & Rehab, LLC | Family Medicine | 4736 17 Bypass South, Myrtle Beach, SC 29588 | 2014-02-06 |
| 1801228499 | Robin Ruth Gause | Lactation Consultant, Non-RN | 510 Fairwood Lakes Ave, 14-c, Myrtle Beach, SC 29588 | 2013-08-06 |
| 1124386438 | Horace Earl Ferguson Jr. | Technician/Technologist | 4535 Dick Pond Road, A, Myrtle Beach, SC 29588 | 2012-04-25 |
| 1831463652 | Medeyecare, LLC | Technician/Technologist | 4335 Socastee Blvd, Unit A, Myrtle Beach, SC 29588 | 2012-02-24 |
| Find all providers in zip 29588 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420464 | Keystone Care, LLC | Social Worker | 285 La Patos Dr, Myrtle Beach, SC 29588-8484 | 2019-01-02 |
| 1053804328 | Serenity and Beyond Counseling Services LLC | Social Worker | 1229 38th Ave N Ste 207, Myrtle Beach, SC 29577-1313 | 2018-06-12 |
| 1891233144 | Alexis Skelley Elliott | Social Worker | 410 77th Ave N, Myrtle Beach, SC 29572-4236 | 2017-02-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1073924114 | John Anthony Roman II | Social Worker | 917 Broadway St Ste 3, Myrtle Beach, SC 29577-3718 | 2014-05-12 |
| 1164866349 | Sarah Roberts | Social Worker | 185 Zinnia Dr, Myrtle Beach, SC 29579-7051 | 2013-04-18 |
| 1235412685 | Bergeron Counseling Services LLC | Social Worker | 1335 44th Ave N Ste 204, Myrtle Beach, SC 29577-5980 | 2011-09-22 |
| 1437455144 | Little River Medical Center, Inc. | Social Worker | 7726 N Kings Hwy, Myrtle Beach, SC 29572-3041 | 2011-01-28 |
| 1235452772 | Sheena Blake Gaddis | Social Worker | 1229 38th Ave N # 207, Myrtle Beach, SC 29577 | 2010-03-11 |
| 1346563350 | Debbie Lea Jackson | Social Worker | 1101 Johnson Ave Ste 2, Myrtle Beach, SC 29577-1893 | 2010-03-04 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29588 |
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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.