LYDIA STALLINGS (NPI# 1780221036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780221036 |
Entity Type | Individual |
Full Name | LYDIA STALLINGS |
Practice Address |
403 Stony Landing Rd Moncks Corner SC 29461-3967 |
Practice Telephone | 8437618282 |
Practice Fax Number | 8437617308 |
Enumeration Date | 2019-12-05 |
Last Update Date | 2019-12-05 |
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 |
403 STONY LANDING RD |
City | MONCKS CORNER |
State | SC |
Zip Code | 29461-3967 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548230220 | Elizabeth Ann Holloway Jensen | Nurse Practitioner | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2006-01-25 |
1891301313 | Jennifer Lane Gillespie | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-09-21 |
1982210415 | Kelvin Craig Tyler Jr. | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-09-21 |
1376159897 | Stephanie Davis-velez | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-09-21 |
1720699614 | Amy Lynn Watson | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-08-13 |
1417588484 | Sarah L Oxendine | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-01-29 |
1679104640 | Kayla B Bennett | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-01-29 |
1194356162 | Monique D Stanley | Registered Nurse | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-01-29 |
1518501253 | Sarah A Younts | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2019-11-06 |
1164066817 | Rachael D Danforth | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2019-11-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982267605 | Berkeley Citizens Inc | Early Intervention Provider Agency | P0 Drawer 429 1301 Old Hwy 52 South, Moncks Corner, SC 29461 | 2019-04-18 |
1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
1598243719 | Jana Matthews Chinners | Family Medicine | 2061 Us-52, Moncks Corner, SC 29461 | 2018-07-31 |
1285151225 | Nathan Andrew Bostrom | Occupational Therapist | 118 Carolina Avenue, Moncks Corner, SC 29461 | 2017-08-29 |
1942730528 | Martina Snider | Specialist | 393 Corner Square Plaza, Moncks Corner, SC 29461 | 2017-06-15 |
1104355502 | Mary Elizabeth Perdue | Counselor | 306 Airport Dr., Moncks Corner, SC 29461 | 2017-06-08 |
1619390481 | Berkeley Citizens, Inc. | Public Health or Welfare | 1301 Old Hwy. 52 South, Moncks Corner, SC 29461 | 2014-01-29 |
1326384082 | Amanda Trueworthy | Counselor | 3156 F South Live Oak Drive, Moncks Corner, SC 29461 | 2012-12-27 |
1790040202 | Melanie Mcendree | Community Health Worker | 105 Lobolly Dr., Moncks Corner, SC 29461 | 2012-07-10 |
1891093845 | Leslie Erin Blackmon Stelling | Pharmacist | 110 South Highway 52, Moncks Corner, SC 29461 | 2011-02-28 |
Find all providers in zip 29461 |
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 |
---|---|---|---|---|
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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City | MONCKS CORNER |
Zip Code | 29461 |
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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.