SCDJJ (NPI# 1144569872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144569872 |
| Entity Type | Organization |
| Organization Name | SCDJJ |
| Practice Address |
5000 Broad River Rd Golf Unit/birchwood Campus Columbia SC 29212-3532 |
| Mailing Address |
5000 Broad River Rd Columbia SC 29212-3532 |
| Practice Telephone | 8038964753 |
| Mailing Telephone | 8038964753 |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |
| Authorized Official Name | DEMORRIE LASHAUN EVANS (SOCIAL WORKER) |
| Authorized Official Telephone | 8038964753 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 8850 | SC | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134556038 | Scdjj | Community/Behavioral Health | 4900 Broad River Rd, Columbia, SC 29212-3531 | 2013-10-09 |
| 1275872202 | Scdjj | Case Management | 4900 Broad River Rd, Columbia, SC 29212-3531 | 2013-02-12 |
| Street Address |
5000 BROAD RIVER RD GOLF UNIT/BIRCHWOOD CAMPUS |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29212-3532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013065333 | Addison Ronald Richardson | Social Worker | 5000 Broad River Rd, Columbia, SC 29212-3532 | 2007-01-05 |
| 1073967261 | Nele Sophie Elsa Karmaus | Social Worker | 5000 Broad River Rd, Columbia, SC 29212-3532 | 2016-04-14 |
| 1609230739 | Natalie Michelle Suber | Social Worker | 5000 Broad River Rd, Columbia, SC 29212-3532 | 2016-04-05 |
| 1255798492 | Cassandra Showers | Social Worker | 5000 Broad River Rd, Columbia, SC 29212-3532 | 2016-01-19 |
| 1780040386 | Nicole Hardy | Social Worker | 5000 Broad River Rd, Columbia, SC 29212-3532 | 2016-01-12 |
| 1588900484 | Department of Juvenile Justice | Community/Behavioral Health | 5000 Broad River Rd, Columbia, SC 29212-3532 | 2012-12-20 |
| 1770829772 | Sc Department of Juvenile Justice | Community Based Residential Treatment Facility, Mental Illness | 5000 Broad River Rd, Columbia, SC 29212-3532 | 2012-12-19 |
| 1932445947 | Shawnta Cohen | Social Worker | 5000 Broad River Rd, Columbia, SC 29212 | 2012-12-19 |
| 1790021970 | South Carolina Department of Juvenile Justice | Case Management | 5000 Broad River Rd, Columbia, SC 29212-3532 | 2012-12-17 |
| 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 | 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 |
|---|---|---|---|---|
| 1902403116 | Pieces 2 Peace Wellness Center, LLC | Community/Behavioral Health | 1105 Belleview St Ste 103, Columbia, SC 29201-1839 | 2020-10-01 |
| 1710507090 | Adahsa Counseling LLC | Community/Behavioral Health | 200 Eascott Pl, Columbia, SC 29229-5502 | 2020-04-16 |
| 1740809862 | Brsi Lp | Community/Behavioral Health | 8901 Farrow Rd, Columbia, SC 29203-8930 | 2020-04-09 |
| 1790324986 | Bransand | Community/Behavioral Health | 402 Nautique Cir, Columbia, SC 29229-7334 | 2020-01-05 |
| 1518513795 | Carolina Family Wellness Clinic, LLC | Community/Behavioral Health | 9153 Two Notch Rd Ste 6, Columbia, SC 29223-5852 | 2019-08-14 |
| 1073174033 | David Hill Consultants, LLC | Community/Behavioral Health | 1818 Pulaski St, Columbia, SC 29201-2381 | 2019-06-21 |
| 1760943005 | Goodecounsel, LLC. | Community/Behavioral Health | 235 Village Walk, Columbia, SC 29209-2166 | 2019-03-28 |
| 1932672961 | Sunshine Counseling Lc | Community/Behavioral Health | 302 Hampton Forest Dr, Columbia, SC 29209-2572 | 2019-01-02 |
| 1285125757 | Carolina Counseling Consultants | Community/Behavioral Health | 7356 Garners Ferry Rd Ste 112, Columbia, SC 29209-2146 | 2018-05-21 |
| 1114414125 | Teal Fire Counseling & Consulting, LLC | Community/Behavioral Health | 10632 Little Patuxent Pkwy Ste 343, Columbia, MD 21044-6239 | 2018-04-16 |
| 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.