LAWANDA D PENDERGRASS (NPI# 1376799072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376799072 |
| Entity Type | Individual |
| Full Name | LAWANDA D PENDERGRASS |
| Practice Address |
1175 N Guignard Dr Sumter SC 29150-1519 |
| Mailing Address |
215 N Magnolia St Sumter SC 29150-4943 |
| Practice Telephone | 8037752677 |
| Mailing Telephone | 8037752677 |
| Mailing Fax Number | 8649620758 |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2011-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1175 N GUIGNARD DR |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063460574 | Lynn T. Melton | Social Worker | 1175 N Guignard Dr, Swcmhc/caf, Sumter, SC 29150-1519 | 2006-05-05 |
| 1013409630 | Ashley Moise | Counselor | 1175 N Guignard Dr, Sumter, SC 29150-1519 | 2018-05-30 |
| 1245720945 | Antoni Murrell | Counselor | 1175 N Guignard Dr, Sumter, SC 29150-1519 | 2018-05-17 |
| 1174013106 | Shea H Stone | Registered Nurse | 1175 N Guignard Dr, Sumter, SC 29150-1519 | 2018-05-15 |
| 1730681651 | Sylvia Joeann Rogers | Social Worker | 1175 N Guignard Dr, Sumter, SC 29150-1519 | 2018-03-07 |
| 1396274528 | Cheryl Lynn Hayes | Registered Nurse | 1175 N Guignard Dr, Sumter, SC 29150-1519 | 2017-06-10 |
| 1740718246 | Stephanie L Roberts | Social Worker | 1175 N Guignard Dr, Sumter, SC 29150 | 2017-05-27 |
| 1740631902 | Danya Mckinney | Counselor | 1175 N Guignard Dr, Sumter, SC 29150-1519 | 2016-06-28 |
| 1285039586 | Denise L Gibson | Counselor | 1175 N Guignard Dr, Sumter, SC 29150-1519 | 2014-10-29 |
| 1780976969 | Julee Williams | Registered Nurse | 1175 N Guignard Dr, Sumter, SC 29150-1519 | 2011-05-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| Find all providers in zip 29150 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851549596 | May L. Baird | Case Manager/Care Coordinator | 2550 Carriage Dr, Sumter, SC 29154-7111 | 2008-09-07 |
| 1023648789 | Raquel Hudgies | Case Manager/Care Coordinator | 801 N Pike W, Sumter, SC 29153-1906 | 2020-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271926 | Rosalyn Hicks | Case Manager/Care Coordinator | 205 Poplar St Se, Salley, SC 29137-8949 | 2020-10-08 |
| 1962021352 | Lakeisha Cerese Burgess | Case Manager/Care Coordinator | 3618 Ashley Phosphate Rd, North Charleston, SC 29418-8585 | 2020-04-15 |
| 1154968089 | Sheena Dewitt | Case Manager/Care Coordinator | 770 Helmsman Ln, Chapin, SC 29036-6001 | 2019-12-10 |
| 1588201370 | Juanethea Bryantlord | Case Manager/Care Coordinator | 121 Amity Ln, Aiken, SC 29803-3873 | 2019-11-29 |
| 1114560489 | Leslie Stephens | Case Manager/Care Coordinator | 409 Ulmer Lake Dr, Walterboro, SC 29488-9417 | 2019-10-19 |
| 1649820382 | Kendra Latoya Brown-brooks | Case Manager/Care Coordinator | 614 Friendship Rd, Seneca, SC 29678-5348 | 2019-09-15 |
| 1285283515 | Uniq Care | Case Manager/Care Coordinator | 36450 County Line Rd, Hemingway, SC 29554-4328 | 2019-09-09 |
| 1205489960 | Ajah Ashanti Thacker | Case Manager/Care Coordinator | 309 Se Main St Ste 207, Simpsonville, SC 29681-2696 | 2019-07-22 |
| 1861045122 | Laquile West | Case Manager/Care Coordinator | 312 Angus Dr, Columbia, SC 29223-7758 | 2019-07-16 |
| 1770145005 | Kimberley Cecile Buldini | Case Manager/Care Coordinator | 164 Peachtree Ln, Seneca, SC 29678-6124 | 2019-07-08 |
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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.