MRS. SUSAN CAROLE GENTRY (NPI# 1891752846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891752846 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN CAROLE GENTRY |
| Credential | LISW-CP, CSC |
| Practice Address |
23 Surrey Ct Columbia SC 29212-3139 |
| Practice Telephone | 8035512900 |
| Mailing Telephone | 8035512900 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6196 | SC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 105 Nut Leaf Ln, Greenville, SC 296056446 | 8644302585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811327174 | Susan Gentry | Perfusionist | 2753 E Broadway Rd # 101-454, Mesa, AZ 85204-1579 | 2013-11-22 |
| 1952575193 | Susan E Gentry | Nurse Practitioner | 4 Willow Pt, Suite 50, Hattiesburg, MS 39402-1150 | 2008-04-18 |
| 1942246608 | Susan E Gentry | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-21 |
| Street Address |
23 SURREY CT |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29212-3139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245758887 | Amanda Gail Holloman | Pharmacist | 6021 St. Andrews Road, Columbia, SC 29212 | 2017-09-04 |
| 1578080180 | Alvin Mitchell Jr. | Non-emergency Medical Transport (VAN) | 10 Breezewood Court, Columbia, SC 29212 | 2017-08-24 |
| 1467975102 | Shelby Clemmer | Behavior Technician | 2 Harbison Way, Columbia, SC 29212 | 2017-07-25 |
| 1982149019 | Showntellem | Private Vehicle | 336 Foxfire Dr, Columbia, SC 29212 | 2016-12-28 |
| 1902215296 | Miranda Willis Adult Day Care, LLC | Social Worker | 5932 Mcmillian Circle, Columbia, SC 29212 | 2014-08-12 |
| 1013342591 | Robert Glendon Long | Pediatrics | 15 Woodpine Ct, Columbia, SC 29212 | 2013-09-04 |
| 1174969638 | Melinda Dumas Crenshaw | Psychologist | 2800 Ashland Rd., Columbia, SC 29212 | 2013-05-10 |
| 1417209982 | Physician Services LLC | Internal Medicine | 214 Lake Front Drive, Physician Services, Cola, SC 29212 | 2012-10-09 |
| 1306131800 | Rocky Mountain Holdings LLC | Ambulance | 6015 Saint Andrews Rd, Columbia, SC 29212 | 2011-06-13 |
| 1023262839 | Candace Anne Aguiar | Nurse Anesthetist, Certified Registered | 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 | 2008-11-06 |
| Find all providers in zip 29212 | ||||
| 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 |
|---|---|---|---|---|
| 1699396135 | Elana Patrice Bouldin | Social Worker | 5570 Sterrett Pl Ste 205, Columbia, MD 21044-2649 | 2020-05-06 |
| 1659992998 | Stacey Denise Mcphail | Social Worker | 5402 Magnolia Park Cir, Columbia, SC 29206-1164 | 2020-04-28 |
| 1205455912 | Jordan Desai | Social Worker | 826 Maple St, Columbia, SC 29205-1732 | 2020-04-13 |
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1740810183 | Shannon Jean Haynes | Social Worker | 755 Viola Ct, Columbia, SC 29229-7089 | 2020-01-24 |
| 1093345241 | Michael R. Williams | Social Worker | 304 Laurel Rise Ln, Columbia, SC 29229-7403 | 2020-01-16 |
| 1427697523 | Elizabeth Lynn Meritt | Social Worker | 7344 Eden Brook Dr Apt 928, Columbia, MD 21046-1288 | 2020-01-06 |
| 1134762735 | Scott Buis | Social Worker | 2120 E Business Loop 70, Columbia, MO 65201-5504 | 2019-10-26 |
| 1295378859 | Andrea Terese Rule | Social Worker | 210 W Sand Bank Rd Ste 14, Columbia, IL 62236-1044 | 2019-10-25 |
| 1710529144 | Christine M Lero | Social Worker | 1604 Pickard Way, Columbia, MO 65203-4722 | 2019-10-17 |
| 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.