SCOTT D FAIRWEATHER


Address: 15 Medical Park, Suite 300, Columbia, SC 29203-6894
Phone: 8034344300

SCOTT D FAIRWEATHER (NPI# 1790812485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790812485
Entity Type Individual
Full Name SCOTT D FAIRWEATHER
Credential LISW-CP, CAC-I
Practice Address 15 Medical Park
Suite 300
Columbia
SC 29203-6894
Practice Telephone 8034344300
Mailing Telephone 8034344300
Mailing Fax Number 8034344351
Enumeration Date 2007-02-28
Last Update Date 2010-09-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
1005207 SC Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
8866 SC Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
8866 SC Behavioral Health & Social Service Providers

Office Location

Street Address 15 MEDICAL PARK
SUITE 300
City COLUMBIA
State SC
Zip Code 29203-6894

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699703306 University Specialty Clinics - Neuropsychiatry and Behavioral Science Psychologist 15 Medical Park, Suite 301, Columbia, SC 29203-6843 2006-06-29
1174904346 Shalika Whig Guram Psychiatry & Neurology 15 Medical Park, Suite 141, Columbia, SC 29203 2015-06-14
1487939070 Joshua D Fowler Psychiatry & Neurology 15 Medical Park, Ste 141 - General Psychiatry, Columbia, SC 29203 2011-10-15
1003103730 Jason Lerand Gandy Psychiatry & Neurology 15 Medical Park, Psychiatry-general - Ste. 141, Columbia, SC 29203 2011-07-01
1154657542 Kimberly S. Harrison Psychologist 15 Medical Park, Suite 141, Columbia, SC 29203 2009-10-20
1659571503 Kristin Lynn Remke Clary Psychiatry & Neurology 15 Medical Park, Dept of Psychiatry, Columbia, SC 29203 2007-07-19
1609073014 Juliet A Glover Psychiatry & Neurology 15 Medical Park, Ste. 301, Columbia, SC 29203 2007-06-29
1851422422 Jesse Andrewe Raley Psychiatry & Neurology 15 Medical Park, Dept of Psychiatry #141, Columbia, SC 29203 2007-03-08
1417088964 Ashley B. Jones Psychiatry & Neurology 15 Medical Park, Suite 141, Columbia, SC 29203 2007-03-08
1790816569 Christian D. Neal Psychiatry & Neurology 15 Medical Park, Ste 141, Columbia, SC 29203 2007-03-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475284 Matthew Leon Brigmon Surgery 2 Richland Medical Park, Suite 300, Columbia, SC 29203 2020-10-23
1730706839 John James Gannon Family Medicine Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 2020-07-06
1790302362 Klariz Teves Tucker Internal Medicine Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-30
1811514482 Esther Ruth Swan Psychiatry & Neurology Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1447877014 Jordan Kaitlyn Merrels Psychiatry & Neurology Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1306463187 Jessica Leigh Watson Psychiatry & Neurology Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-29
1053938852 Garrison Glenn Rice Family Medicine Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-29
1053938977 Rachel Ellen Harper Obstetrics & Gynecology The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-26
1609493592 Elizabeth Marie Kern Orthopaedic Surgery Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 2020-06-26
1891312799 Kathryn Victoria Steverson Psychiatry & Neurology Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-26
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699396135 Elana Patrice Bouldin Social Worker 5570 Sterrett Pl Ste 205, Columbia, MD 21044-2649 2020-05-06
1659992998 Stacey Denise Mcphail Social Worker 5402 Magnolia Park Cir, Columbia, SC 29206-1164 2020-04-28
1205455912 Jordan Desai Social Worker 826 Maple St, Columbia, SC 29205-1732 2020-04-13
1700413838 Alexis Koreema Brown Social Worker 3205 Montcrest Rd., Columbia, SC 29210 2020-03-26
1740810183 Shannon Jean Haynes Social Worker 755 Viola Ct, Columbia, SC 29229-7089 2020-01-24
1093345241 Michael R. Williams Social Worker 304 Laurel Rise Ln, Columbia, SC 29229-7403 2020-01-16
1427697523 Elizabeth Lynn Meritt Social Worker 7344 Eden Brook Dr Apt 928, Columbia, MD 21046-1288 2020-01-06
1134762735 Scott Buis Social Worker 2120 E Business Loop 70, Columbia, MO 65201-5504 2019-10-26
1295378859 Andrea Terese Rule Social Worker 210 W Sand Bank Rd Ste 14, Columbia, IL 62236-1044 2019-10-25
1710529144 Christine M Lero Social Worker 1604 Pickard Way, Columbia, MO 65203-4722 2019-10-17
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Competitor

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City COLUMBIA
Zip Code 29203

Improve Information

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Dataset Information

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.

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