ELLEN WALLACE MABE (NPI# 1659785954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659785954 |
| Entity Type | Individual |
| Full Name | ELLEN WALLACE MABE |
| Practice Address |
715 S Doctors Dr Ste. A, B, D/e Cheraw SC 29520-7113 |
| Mailing Address |
Po Box 1090 Hartsville SC 29551-1090 |
| Practice Telephone | 8435370961 |
| Practice Fax Number | 8435370908 |
| Mailing Telephone | 8438570111 |
| Mailing Fax Number | 8438570206 |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2017-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
10797 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | LW1023 | 05 |
| Street Address |
715 S DOCTORS DR STE. A, B, D/E |
| City | CHERAW |
| State | SC |
| Zip Code | 29520-7113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081375 | Farooq Hussain Qureshi | Orthopaedic Surgery | 715 S Doctors Dr, Ste F, Cheraw, SC 29520-7113 | 2005-05-27 |
| 1730614587 | Caresouth Carolina Inc | Pharmacy | 715 S Doctors Dr, Cheraw, SC 29520-7113 | 2017-04-28 |
| 1306378773 | Caresouth Carolina, Inc. | Nursing Care | 715 S Doctors Dr, Suite E, Cheraw, SC 29520-7113 | 2017-04-03 |
| 1497137533 | Sarah Knight | Nurse Practitioner | 715 S Doctors Dr, Ste. A,b,d,e, Cheraw, SC 29520-7113 | 2015-06-25 |
| 1922486414 | Mcleod Physician Associates II | Internal Medicine | 715 S Doctors Dr, Suite C, Cheraw, SC 29520-7113 | 2015-05-15 |
| 1083058564 | Cheraw General Practice & Orthopedics LLC | Orthopaedic Surgery | 715 S Doctors Dr, Ste F, Cheraw, SC 29520-7113 | 2013-04-26 |
| 1326232919 | Chesterfield Clinic Corp | Orthopaedic Surgery | 715 S Doctors Dr, Ste F, Cheraw, SC 29520-7113 | 2007-08-28 |
| 1851511992 | Tracy J Teal | Nurse Practitioner | 715 S Doctors Dr, Ste. A, B, D/e, Cheraw, SC 29520-7113 | 2007-04-30 |
| 1063635571 | Cheraw Pediatrics, P.a. | Pediatrics | 715 S Doctors Dr, Suite E, Cheraw, SC 29520-7113 | 2007-04-11 |
| 1578622478 | Chesterfield Clinic Corp | Surgery | 715 S Doctors Dr, Suite C, Cheraw, SC 29520-7113 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811541824 | Gloria Curtis | Nurse's Aide | 2912 Wire 1 Rd, Cheraw, SC 29520 | 2019-07-29 |
| 1427419175 | New Perspective Life Center LLC | Case Management | 319 Chesterfiled Hwy #9, Cheraw, SC 29520 | 2016-03-09 |
| 1306203310 | Highly Favored LLC | Counselor | 65 Sanders Ln, Cheraw, SC 29520 | 2016-01-21 |
| 1962880690 | Butterfly Services LLC | Community Based Residential Treatment Facility, Mental Illness | 1562 Fred Davis Road, Cheraw, SC 29520 | 2015-05-14 |
| 1912304387 | Wrights Care Services LLC | Community/Behavioral Health | 319 East Chesterfield Hwy, Cheraw, SC 29520 | 2014-12-01 |
| 1386994762 | Stefanie Deese | Pharmacist | 901 Market St., Cheraw, SC 29520 | 2012-09-13 |
| 1699952218 | Chesterfield Marlboro, Lp | General Acute Care Hospital | Highway 9 West, Cheraw, SC 29520 | 2008-01-25 |
| 1174678411 | Carolina Eye Associates, Inc. | Ophthalmology | 705 Chesterfield Hwy, Cheraw, SC 29520 | 2007-01-25 |
| 1619030855 | Horton Chiropractic Clinic of Cheraw, Pa | Chiropractor | 601 Diane Dr, Cheraw, SC 29520 | 2006-12-19 |
| 1700947835 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 104 Grace Lane, Cheraw, SC 29520 | 2006-12-13 |
| Find all providers in zip 29520 | ||||
| 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 |
|---|---|---|---|---|
| 1336256072 | Lisa Gleason | Social Worker | 212 3rd St, Cheraw, SC 29520-2648 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840287 | Cromer Counseling, Pa | Social Worker | 10415 Broad River Rd Unit J, Irmo, SC 29063-9686 | 2020-10-29 |
| 1467052530 | Christi Foster | Social Worker | 2250 E Main St, Spartanburg, SC 29307-1419 | 2020-10-28 |
| 1487260501 | Kayla E Pengelski | Social Worker | 1030 Riverwalk Pkwy Ste 203, Rock Hill, SC 29730-4265 | 2020-09-23 |
| 1003421108 | Julia G Bagley | Social Worker | 3206 Newcastle Dr, Rock Hill, SC 29732-8810 | 2020-09-15 |
| 1073128211 | Kanisha Harrison | Social Worker | 2680 Gradys Ground Dr N, Mc Connells, SC 29726-6776 | 2020-09-14 |
| 1356956650 | Alive & Well Counseling, LLC | Social Worker | 753 Johnnie Dodds Blvd Ste 100, Mt Pleasant, SC 29464-3054 | 2020-09-14 |
| 1508471475 | Beth Allison Ringel | Social Worker | 2108 Andover Way, Mount Pleasant, SC 29466-6997 | 2020-09-08 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1891305280 | The Wright Wellness and Counseling Services, Inc. | Social Worker | 303 E Lee Rd, Taylors, SC 29687-3243 | 2020-07-31 |
| 1760091664 | Terance Miles Dawkins | Social Worker | 512 Dragonfly Ct, Roebuck, SC 29376-2779 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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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.