Samuel Mitchell Elder, LISW-CP is a
Social Worker based in Greenville, South Carolina. Samuel Mitchell Elder is licensed to practice in South Carolina (license number 13054) and his current practice location is
301 Halton Rd Ste J, Greenville, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(864) 664-2710.
NPI number for Samuel Mitchell Elder is 1891356200 and his current mailing address is 117 Commons Way, Greenville, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891356200.
Healthcare Provider's Profile
| Full Name | Samuel Mitchell Elder |
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| Gender | Male |
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| Speciality | Social Worker |
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| Location | 301 Halton Rd Ste J, Greenville, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891356200
- Provider Enumeration Date: 06/26/2019
- Last Update Date: 03/24/2022
Medical Identifiers
Medical identifiers for Samuel Mitchell Elder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891356200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 13054 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samuel Mitchell Elder is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Samuel Mitchell Elder, LISW-CP
117 Commons Way,
Greenville, SC 29611-3850
Ph: (219) 921-6988 | Samuel Mitchell Elder, LISW-CP
301 Halton Rd Ste J,
Greenville, SC 29607-3498
Ph: (864) 664-2710 |
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