STEPHANIE LAMAR BLACK


Address: 1035 Cheraw Street, Bennettsville, SC 29512
Phone: 8434540442

STEPHANIE LAMAR BLACK (NPI# 1104053016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104053016
Entity Type Individual
Full Name STEPHANIE LAMAR BLACK
Credential RN
Practice Address 1035 Cheraw Street
Bennettsville
SC 29512
Mailing Address P.o. Box 918
Bennettsville
SC 29512
Practice Telephone 8434540442
Mailing Telephone 8434540841
Mailing Fax Number 8434540635
Enumeration Date 2009-06-18
Last Update Date 2009-09-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
93199 SC Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC 405127 05

Other Providers STEPHANIE BLACK

NPI Name Taxonomy Address Enumeration
1073149464 Stephanie Parker Black Nurse Practitioner 1101 W Illinois Ave, Midland, TX 79701-6156 2020-03-17
1083124051 Stephanie Black Physician Assistant 1455 Harrison Ave Nw Ste 105, Canton, OH 44708-2609 2017-10-04
1396287181 Stephanie Frances Black Occupational Therapy Assistant 409 Avenue C, Apt 1a, Brooklyn, NY 11218-4525 2016-11-09
1972902773 Stephanie Black Registered Nurse 1979 Bowles Ave, Creedmoor, NC 27522-7824 2014-08-18
1477745446 Stephanie Broadbent Black Social Worker 2319 Catskill Ct, Iowa City, IA 52245-5250 2007-08-14
1487109971 Stephanie Black Student in an Organized Health Care Education/Training Program 651 I St, Sacramento, CA 95814-2400 2016-08-24
1609226281 Stephanie Black Specialist 1001 E 2nd St, Coudersport, PA 16915-8161 2016-06-15
1659707990 Stephanie Black Specialist/Technologist 100 Hamilton Pointe Dr, 115 & 120, Byron, GA 31008 2013-09-18
1245479963 Stephanie Black Physical Therapist 2838 Oswell St, Bakersfield, CA 93306-2704 2009-02-19
1710184908 Stephanie Black Pediatrics 34th Street & Civic Center Blvd, Suite 9329, Philadelphia, PA 19104-4399 2007-06-29

Office Location

Street Address 1035 CHERAW STREET
City BENNETTSVILLE
State SC
Zip Code 29512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033176755 Mark C. Feinstein Psychiatry & Neurology 1035 Cheraw Street, Bennettsville, SC 29512-0918 2006-04-27
1356981542 Miranda Shawntay Roberts Counselor 1035 Cheraw Street, Bennettsville, SC 29512 2020-01-15
1649812702 Alethea Davis Counselor 1035 Cheraw Street, Bennettsville, SC 29512 2019-10-10
1942856752 Alton Davis Counselor 1035 Cheraw Street, Bennettsville, SC 29512 2019-08-16
1083268650 Rantaisha Elizabeth Robinson Counselor 1035 Cheraw Street, Bennettsville, SC 29512 2019-07-31
1346893443 Shanika Shanta Brown Counselor 1035 Cheraw Street, Bennettsville, SC 29512 2019-07-18
1982167623 Kenya Charnele Frazier Counselor 1035 Cheraw Street, Bennettsville, SC 29512 2019-04-10
1992160980 Lonnie Lewis Wade Counselor 1035 Cheraw Street, Bennettsville, SC 29512 2015-12-18
1841506227 Alkesh Bhupendra Gajjar Psychiatry & Neurology 1035 Cheraw Street, Bennettsville, SC 29512 2010-08-24
1689785701 Simon Huggins Counselor 1035 Cheraw Street, Bennettsville, SC 29512 2006-08-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861841371 Anna Paige Paul Counselor 1035 Cherau St, Bennettsville, SC 29512 2016-06-06
1821468679 Kristen Dana Oliver Social Worker 1035 Cherow St., Bennettsville, SC 29512 2015-10-05
1285022749 3-points Coastal Care,llc Community/Behavioral Health 1300 West Main St, Bennettsville, SC 29512 2015-01-06
1437572328 Terri Cardenas Woodham Pharmacist 336 Highway 9 West, Bennettsville, SC 29512 2014-01-28
1851712533 Amy Kessler Pharmacist 336 Hwy 9 West, Bennettsville, SC 29512 2013-12-23
1346677184 Daniel Louis Lockamy Counselor 284 Tatum Rd, Bennettsville, SC 29512 2013-10-10
1164772596 Melissa Irene Pletan Pharmacist 1085 Cottingham Blvd, Ste 3, Bennettsville, SC 29512 2012-09-13
1730440769 Cigna Onsite Health LLC Non-Pharmacy Dispensing Site 2094 Marlboro Rd, Bennettsville, SC 29512 2012-06-06
1649572710 Ingram Health Service/manna House.inc Case Management 211 N Market Street, Bennettsville, SC 29512 2010-11-23
1952564387 Gregory Wayne Alford Community Health Worker 610 State Street Ext, Bennettsville, SC 29512 2008-07-07
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104938232 Catherine W Erwin Registered Nurse 1035 Cheraw Hwy, Tri County Community Mental Health Center, Bennettsville, SC 29512 2006-08-31
1922119031 Betty R Bethea Registered Nurse 1197 Hamlet Hwy Box 13, Bennettsville, SC 29512 2006-08-31
1477056372 Quaneaka Chintell Reed Registered Nurse 1035 Cheraw St., Bennettsville, SC 29512 2018-03-16
1720375298 Lacey Whitaker Lee Registered Nurse 1035 Cheraw St., Bennettsville, SC 29512 2011-07-06
1679897797 Lisa C Long Registered Nurse 1035 Cheraw St, Bennettsville, SC 29512 2010-03-18
1528214418 Rose Jackson Registered Nurse 1035 Cheraw St., Bennettsville, SC 29512-0918 2008-08-12
1790969707 Natalie Monique Quick Registered Nurse 1197 Hamlet Hwy, Bennettsville, SC 29512 2007-12-27
1588775613 Carolyn T Cohen Registered Nurse 1035 Cheraw St, Bennettsville, SC 29512 2006-08-31
1902918063 Susan G Reed Registered Nurse 1035 Cheraw St, Bennettsville, SC 29512 2006-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235773326 Edith Bostic Registered Nurse 409 Paul St, Conway, SC 29527-5823 2019-10-31
1073167185 Shyeasha Wilson Registered Nurse 1460 Oakcrest Dr Apt 2120, Columbia, SC 29223-1746 2019-07-26
1053806380 Hannah Jones Registered Nurse 111 Commons Way, Greenville, SC 29611 2018-06-28
1689122640 Chanelle M Johnson Registered Nurse 217 Gateway Ln, Columbia, SC 29210-7452 2016-09-19
1548635873 Melissa Davis Ellington Registered Nurse 900 South 4th Street, Hartsville, SC 29550 2015-12-11
1902212251 New Day Emotional Care, LLC Registered Nurse 2117 W Palmetto St Ste A, Florence, SC 29501-3902 2014-07-08
1194137091 Carmen White-baltimore Registered Nurse 4794 Baltimore Pl, Charleston, SC 29418-3485 2014-05-27
1518381599 Rosalinde M Rhynes Registered Nurse 3805 Saluda Rd, Rock Hill, SC 29730-7262 2014-02-11
1952654527 Veronica Smith Registered Nurse 3473 Lockhart Hwy, Union, SC 29379-8526 2012-10-19
1154670586 Karissa Ann Chorbajian Registered Nurse 248 Earle Dr, Greenville, SC 29611-4408 2012-08-30
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Competitor

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City BENNETTSVILLE
Zip Code 29512

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Dataset Information

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.

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