MS. JEANETTE LOUISE VIRDEN (NPI# 1255979431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255979431 |
| Entity Type | Individual |
| Full Name | MS. JEANETTE LOUISE VIRDEN |
| Credential | LMSW |
| Practice Address |
200 E 5th North Street Summerville SC 29483 |
| Mailing Address |
1863 Houghton Dr Charleston SC 29412-2939 |
| Practice Telephone | 8436472346 |
| Mailing Telephone | 6303614040 |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
13392 | SC | Behavioral Health & Social Service Providers |
| Street Address |
200 E 5TH NORTH STREET |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
| 1912477415 | Kaylee Lobo | Nurse Practitioner | 203 Pavilion Street, Summerville, SC 29483 | 2018-11-28 |
| 1962981142 | Jackson Pediatric Dentistry of Summerville | Dentist | 405 West 4th Street North, Summerville, SC 29483 | 2018-08-09 |
| 1558885483 | Allied Medical Respiratory | Durable Medical Equipment & Medical Supplies | 200 W 5th North Street, Summerville, SC 29483 | 2017-08-02 |
| 1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
| 1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
| 1497113617 | Roper Saint Francis Physicians Network | Surgery | 1112 N Main St Ste C, Summerville, SC 29483 | 2016-02-02 |
| 1083000798 | Andrea Sartori | Clinical Neuropsychologist | 107 W 5th North St Ste 102, Summerville, SC 29483 | 2015-04-09 |
| 1376931626 | Wendy Davis-jones | Home Health Aide | 203 Lakepointe Ave, Summerville, SC 29483 | 2015-01-08 |
| 1457758088 | James F. Deavers, Od, Pa | Optometrist | 11317 North Main Street, Summerville, SC 29483 | 2014-11-25 |
| Find all providers in zip 29483 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880061 | Pledger Behavior Consulting, LLC | Counselor | 7563 Highway 337, Summerville, GA 30747-6101 | 2020-10-27 |
| 1073126090 | Colleen Catherine Lhotsky Sullivan | Counselor | 209 Yeamans Way, Summerville, SC 29483-9770 | 2020-08-28 |
| 1437773983 | Te'on Grant | Counselor | 89b Old Trolley Rd, Summerville, SC 29485-4933 | 2020-06-01 |
| 1083181424 | Laurie Michael Tomlin | Counselor | 235 Medford Dr, Summerville, SC 29485-6507 | 2018-10-24 |
| 1912498650 | Linda A Wolf | Counselor | 173 Braly Dr, Summerville, SC 29485-5317 | 2018-05-29 |
| 1942714365 | Amy Adler | Counselor | 1317m N Main St, Ste 318, Summerville, SC 29483-7307 | 2017-11-21 |
| 1750716304 | Crystal Schulze | Counselor | 1668 Old Trolley Rd Ste 203, Summerville, SC 29485 | 2013-09-13 |
| 1013358621 | Lori M Gant | Counselor | 200 W. 5th North Street, Suite C, Summerville, SC 29483-6512 | 2013-07-11 |
| 1073858031 | Anthony Wade Finke | Counselor | 239 Cameron St, Summerville, SC 29483-5362 | 2012-12-03 |
| 1043599756 | Nancy Jane Purdue | Counselor | 209 Moon Dance Ln, Summerville, SC 29483-5621 | 2011-08-11 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29483 |
Please comment or provide details below to improve the information on MS. JEANETTE LOUISE VIRDEN.
| 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.