SOUTH CAROLINA STATE GOVERNMENT
NPI 1619212917
Community/Behavioral Health in Columbia, SC

NPI Status: Active since November 28, 2012

Contact Information

1725 SHIVERS RD
COLUMBIA, SC
ZIP 29210
Phone: (806) 896-5695

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  • Organization
  • Community/Behavioral Health

About SOUTH CAROLINA STATE GOVERNMENT

This page provides the complete NPI Profile along with additional information for South Carolina State Government, a provider established in Columbia, South Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1619212917 assigned on November 2012. The practitioner's primary taxonomy code is 251S00000X with license number 4663 (SC). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's other name is South Carolina State Government. The authorized official of this NPI record is Ms. Deborah Bennett-york Lisw-cp, Bcd (Social Worker)

NPI
1619212917
Provider Legal Name
DEPARTMENT OF JUVENILE JUSTICE
Other Organization Name
SOUTH CAROLINA STATE GOVERNMENT
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1725 SHIVERS RD COLUMBIA, SC 29210
Location Phone
(806) 896-5695
Mailing Address
11 BRADFORD KNOLL CT COLUMBIA, SC 29223
Mailing Phone
(803) 788-8911
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-28-2012
Last Update Date
12-03-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
4663
License State
SC
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. DEBORAH BENNETT-YORK LISW-CP, BCD

Authorized Official Title
SOCIAL WORKER
Authorized Official Phone
(803) 788-8911

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4663OTHER (01)SCLICENSED BY THE BOARD OF SOCIAL WORK EXAMINERS
29832OTHER (01)SCAMERICAN BOARD OF EXAMINERS OF CLINICAL SOCIAL WORKERS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1619212917
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
262941492
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 4 + 1 + 4 + 9 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1619212917 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639415920INDIVIDUAL
Organization
Residential Treatment Facility, Emotionally Disturbed Children1725 SHIVERS RD
COLUMBIA, SC 29210
(803) 896-5732

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619212917, enumerated in the NPI registry as an "organization" on November 28, 2012

The provider is located at 1725 Shivers Rd Columbia, Sc 29210 and the phone number is (806) 896-5695

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 28, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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